Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $131.83	Facility		$10.96	$12.59	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $234.42	Professional		$75.86	$123.03	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $169.82	Facility		$97.72	$120.23	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $223.87	Professional		$93.33	$190.55	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $467.74	Professional		$95.50	$158.49	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $173.78	Professional		$81.28	$112.20	$173.78