Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.63 / $123.63 / $159.85	Facility		$123.63	$123.63	$159.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $141.88 / $163.06	Professional		$108.19	$141.88	$163.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.73 / $112.19 / $209.42	Facility		$98.73	$112.19	$209.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $139.08 / $139.08	Professional		$139.08	$139.08	$139.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $173.85 / $564.37	Professional		$115.64	$173.85	$564.37
United Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $181.13 / $265.44	Professional		$115.26	$181.13	$265.44