Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $109.45 / $133.47	Facility		$11.55	$109.45	$133.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $96.10 / $134.11	Professional		$12.70	$96.10	$134.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $95.67 / $133.06	Facility		$83.19	$95.67	$133.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $156.16 / $241.39	Professional		$104.11	$156.16	$241.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $124.79 / $252.88	Professional		$87.55	$124.79	$252.88
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $137.72 / $202.32	Professional		$90.69	$137.72	$202.32