Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.25 / $78.25 / $78.25	Facility		$78.25	$78.25	$78.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $81.63 / $86.13	Professional		$78.25	$81.63	$86.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $73.37 / $88.99	Facility		$30.16	$73.37	$88.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $29.21 / $29.21	Professional		$29.21	$29.21	$29.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $92.46 / $488.10	Facility		$92.46	$92.46	$488.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $116.25 / $455.39	Professional		$66.16	$116.25	$455.39
United Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $113.68 / $202.36	Professional		$58.85	$113.68	$202.36