Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $156.49 / $200.59	Facility		$17.30	$156.49	$200.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $138.08 / $189.45	Professional		$19.04	$138.08	$189.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $144.56 / $201.52	Facility		$125.70	$144.56	$201.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $222.84 / $344.44	Professional		$148.56	$222.84	$344.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $179.53 / $381.42	Professional		$127.69	$179.53	$381.42
United Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $200.43 / $408.94	Professional		$133.11	$200.43	$408.94