Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $91.60 / $119.32	Professional		$77.23	$91.60	$119.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $149.96 / $185.12	Facility		$137.47	$149.96	$185.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $137.47 / $289.74	Professional		$124.97	$137.47	$289.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.81 / $143.81 / $143.81	Facility		$143.81	$143.81	$143.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
United Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $62.35 / $104.36	Professional		$53.69	$62.35	$104.36