Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $178.60 / $402.32	Facility		$115.48	$178.60	$402.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $110.05 / $157.24	Professional		$65.48	$110.05	$157.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.58 / $85.89 / $160.32	Facility		$75.58	$85.89	$160.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $106.46 / $106.46	Professional		$106.46	$106.46	$106.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Facility		$125.77	$125.77	$125.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $146.78 / $438.09	Professional		$87.93	$146.78	$438.09
United Facility/Professional Professional Modifier Low / Median / High Price $115.89 / $162.68 / $255.24	Professional		$115.89	$162.68	$255.24