Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.53 / $122.53 / $122.53	Facility		$122.53	$122.53	$122.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $125.03 / $144.65	Professional		$115.24	$125.03	$144.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $74.34 / $154.99	Facility		$63.81	$74.34	$154.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $65.76 / $130.38	Professional		$62.25	$65.76	$130.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $144.69 / $144.69	Facility		$144.69	$144.69	$144.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $134.30 / $488.35	Professional		$97.58	$134.30	$488.35
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $112.06 / $176.05	Professional		$80.23	$112.06	$176.05