Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.16 / $167.32 / $181.30	Facility		$154.16	$167.32	$181.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $37.96 / $68.55	Professional		$17.10	$37.96	$68.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.54 / $25.49	Facility		$16.98	$19.54	$25.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $100.35 / $157.63	Professional		$66.90	$100.35	$157.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $64.42 / $118.98	Professional		$18.73	$64.42	$118.98
United Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $73.22 / $113.89	Professional		$49.31	$73.22	$113.89