Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.34 / $139.34 / $152.54	Facility		$139.34	$139.34	$152.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $146.16	Professional		$139.21	$139.21	$146.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $153.13 / $208.82	Facility		$139.21	$153.13	$208.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $322.76	Professional		$139.21	$139.21	$322.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $136.99 / $139.21	Facility		$131.33	$136.99	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $144.47	Professional		$139.21	$139.21	$144.47
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $153.13 / $161.12	Professional		$139.21	$153.13	$161.12