Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $18.00 / $170.88	Facility		$16.07	$18.00	$170.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $140.49 / $197.78	Professional		$100.49	$140.49	$197.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $148.56 / $213.15	Facility		$129.18	$148.56	$213.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $254.60 / $300.42	Professional		$129.18	$254.60	$300.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $170.68 / $605.62	Professional		$110.20	$170.68	$605.62
United Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $160.47 / $252.66	Professional		$117.89	$160.47	$252.66