Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.94 / $81.94 / $81.94	Facility		$81.94	$81.94	$81.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $81.94 / $202.46	Professional		$73.18	$81.94	$202.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $112.67 / $122.74	Facility		$96.88	$112.67	$122.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $109.10 / $109.10	Professional		$109.10	$109.10	$109.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $103.90 / $103.90	Facility		$103.90	$103.90	$103.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $127.29 / $712.46	Professional		$86.23	$127.29	$712.46
United Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $119.05 / $181.21	Professional		$73.01	$119.05	$181.21