Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $151.27 / $151.27	Professional		$142.38	$151.27	$151.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.51 / $80.04 / $80.04	Facility		$77.51	$80.04	$80.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $234.32	Professional		$161.79	$161.79	$234.32