Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $147.22 / $147.22	Facility		$133.85	$147.22	$147.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.85 / $141.81 / $157.59	Professional		$133.85	$141.81	$157.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $156.72 / $170.76	Facility		$147.18	$156.72	$170.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $151.79 / $151.79	Professional		$151.79	$151.79	$151.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.12 / $171.12 / $171.12	Facility		$171.12	$171.12	$171.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $164.89 / $299.31	Professional		$126.49	$164.89	$299.31
United Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $124.64 / $225.49	Professional		$81.80	$124.64	$225.49