Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $161.96 / $167.49	Facility		$161.96	$161.96	$167.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $165.83 / $167.49	Professional		$163.57	$165.83	$167.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $248.75 / $248.75	Facility		$165.83	$248.75	$248.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $163.37 / $165.83	Facility		$156.44	$163.37	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $288.98	Professional		$165.83	$165.83	$288.98
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $197.07	Professional		$165.83	$165.83	$197.07