Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $98.35 / $131.13	Facility		$11.18	$98.35	$131.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $108.31 / $161.26	Professional		$72.12	$108.31	$161.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $107.78 / $154.63	Facility		$93.72	$107.78	$154.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.72 / $184.69 / $217.42	Professional		$93.72	$184.69	$217.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $121.93 / $420.78	Professional		$79.70	$121.93	$420.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $116.00 / $193.06	Professional		$81.22	$116.00	$193.06