Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $113.54 / $113.54	Facility		$113.54	$113.54	$113.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $120.39 / $132.36	Professional		$113.54	$120.39	$132.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.79 / $128.36 / $139.86	Facility		$120.79	$128.36	$139.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $124.32 / $124.32	Professional		$124.32	$124.32	$124.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $142.05 / $142.05	Facility		$142.05	$142.05	$142.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $134.68 / $578.45	Professional		$108.50	$134.68	$578.45
United Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $121.62 / $185.80	Professional		$88.45	$121.62	$185.80