Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $169.82 / $169.82	Facility		$93.33	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $131.83	Professional		$75.86	$91.20	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $346.74	Facility		$95.50	$181.97	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $549.54 / $549.54	Professional		$131.83	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $114.82	Professional		$47.86	$51.29	$114.82