Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.19 / $88.19 / $88.19	Facility		$88.19	$88.19	$88.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $94.48 / $101.55	Professional		$88.19	$94.48	$101.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $80.69 / $124.15	Facility		$20.60	$80.69	$124.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $19.96 / $19.96	Professional		$19.96	$19.96	$19.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.86 / $108.86 / $488.10	Facility		$108.86	$108.86	$488.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $121.87 / $445.90	Professional		$69.83	$121.87	$445.90
United Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $93.47 / $193.52	Professional		$60.92	$93.47	$193.52