Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.24 / $111.24 / $160.51	Facility		$111.24	$111.24	$160.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $160.51 / $166.86	Professional		$158.91	$160.51	$166.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $158.91 / $238.38	Facility		$127.14	$158.91	$238.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $111.24 / $143.03	Professional		$103.30	$111.24	$143.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $152.91 / $158.91	Facility		$149.91	$152.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $277.68	Professional		$158.91	$158.91	$277.68
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $229.39	Professional		$63.57	$158.91	$229.39