Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $169.82	Facility		$91.20	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $104.71	Professional		$75.86	$89.13	$104.71
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 $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $338.84	Facility		$93.33	$177.83	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $537.03 / $537.03	Professional		$128.82	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $112.20	Professional		$46.77	$50.12	$112.20