Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $251.19	Professional		$91.20	$114.82	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $177.83	Professional		$100.00	$109.65	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $223.87	Facility		$109.65	$141.25	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $263.03	Professional		$109.65	$147.91	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $199.53	Professional		$102.33	$138.04	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $165.96	Professional		$102.33	$128.82	$165.96