Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $134.91 / $171.67	Facility		$128.75	$134.91	$171.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $154.47 / $220.53	Professional		$130.84	$154.47	$220.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $212.63 / $280.67	Facility		$164.66	$212.63	$280.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.41 / $394.39 / $394.39	Professional		$350.41	$394.39	$394.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.40 / $207.40 / $207.40	Facility		$207.40	$207.40	$207.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $287.98 / $845.04	Professional		$180.46	$287.98	$845.04
United Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $147.94 / $276.64	Professional		$101.22	$147.94	$276.64