Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.88 / $78.88 / $78.88	Facility		$78.88	$78.88	$78.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $84.87 / $88.69	Professional		$78.88	$84.87	$88.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $70.67 / $108.69	Facility		$18.04	$70.67	$108.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $17.47 / $17.47	Professional		$17.47	$17.47	$17.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $95.07 / $376.95	Facility		$95.07	$95.07	$376.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $101.40 / $389.79	Professional		$54.78	$101.40	$389.79
United Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $67.51 / $149.86	Professional		$42.76	$67.51	$149.86