Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.54 / $99.54 / $99.54	Facility		$99.54	$99.54	$99.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $99.54 / $118.71	Professional		$89.79	$99.54	$118.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.07 / $118.67 / $129.30	Facility		$107.07	$118.67	$129.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.88 / $114.88 / $114.88	Facility		$114.88	$114.88	$114.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $149.93 / $467.73	Professional		$97.47	$149.93	$467.73
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $119.18 / $175.84	Professional		$80.91	$119.18	$175.84