Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.34 / $133.34 / $133.34	Facility		$133.34	$133.34	$133.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $137.72 / $200.03	Professional		$125.10	$137.72	$200.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $87.26 / $153.22	Facility		$44.18	$87.26	$153.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $46.34 / $46.34	Professional		$46.34	$46.34	$46.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.37 / $151.37 / $151.37	Facility		$151.37	$151.37	$151.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $155.16 / $609.59	Professional		$113.85	$155.16	$609.59
United Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $153.38 / $207.87	Professional		$107.52	$153.38	$207.87