Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $147.91	Facility		$131.83	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $181.97	Professional		$131.83	$141.25	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $169.82	Facility		$147.91	$147.91	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $707.95	Professional		$109.65	$165.96	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $190.55	Professional		$77.62	$114.82	$190.55