Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $151.36	Facility		$77.62	$77.62	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $165.96	Professional		$151.36	$151.36	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $338.84 / $338.84	Facility		$141.25	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $645.65	Professional		$151.36	$151.36	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $323.59 / $380.19	Professional		$125.89	$323.59	$380.19