Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $136.22 / $136.22	Facility		$96.03	$136.22	$136.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $136.22 / $141.63	Professional		$134.88	$136.22	$141.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $202.34	Facility		$134.88	$134.88	$202.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $312.75	Professional		$134.88	$134.88	$312.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $140.35 / $140.35	Facility		$127.25	$140.35	$140.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.63	Professional		$134.88	$134.88	$141.63