Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $143.02	Facility		$139.66	$139.66	$143.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $143.02 / $194.45	Professional		$141.60	$143.02	$194.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $212.40 / $212.40	Facility		$141.60	$212.40	$212.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $137.50 / $141.60	Facility		$133.59	$137.50	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $238.78	Professional		$141.60	$141.60	$238.78
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $171.93	Professional		$141.60	$141.60	$171.93