Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $125.89 / $125.89	Facility		$67.61	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $64.57 / $95.50	Professional		$7.08	$64.57	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $134.90 / $251.19	Facility		$69.18	$134.90	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $407.38 / $407.38	Professional		$95.50	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $83.18	Professional		$35.48	$38.02	$83.18