Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $77.42 / $77.42	Facility		$77.42	$77.42	$77.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $77.42 / $94.00	Professional		$70.06	$77.42	$94.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $92.89 / $101.21	Facility		$83.88	$92.89	$101.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Professional		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $89.92 / $89.92	Facility		$89.92	$89.92	$89.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $116.31 / $366.37	Professional		$76.39	$116.31	$366.37
United Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $92.71 / $146.74	Professional		$64.50	$92.71	$146.74