Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $163.24 / $163.24	Facility		$115.39	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $163.24 / $169.71	Professional		$161.62	$163.24	$169.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $242.43	Facility		$161.62	$161.62	$242.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $374.73	Professional		$161.62	$161.62	$374.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $379.65 / $379.65	Facility		$152.47	$379.65	$379.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
United Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $161.62 / $446.65	Professional		$156.77	$161.62	$446.65