Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.69 / $104.85 / $135.59	Facility		$101.69	$104.85	$135.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.69 / $121.47 / $227.41	Professional		$101.69	$121.47	$227.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.32 / $155.36 / $205.08	Facility		$120.32	$155.36	$205.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $288.17 / $288.17	Professional		$256.04	$288.17	$288.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $151.61 / $151.61	Facility		$151.61	$151.61	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $227.46 / $618.98	Professional		$131.91	$227.46	$618.98
United Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $117.50 / $198.86	Professional		$82.45	$117.50	$198.86