Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.02 / $139.31 / $139.31	Facility		$76.02	$139.31	$139.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $139.31 / $144.82	Professional		$137.93	$139.31	$144.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $206.90	Facility		$137.93	$137.93	$206.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $319.79	Professional		$137.93	$137.93	$319.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.08 / $128.08 / $137.93	Facility		$128.08	$128.08	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $305.04	Professional		$137.93	$137.93	$305.04