Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $144.54	Professional		$63.10	$87.10	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $75.86 / $109.65	Facility		$19.05	$75.86	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $489.78	Facility		$147.91	$147.91	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $446.68	Professional		$69.18	$123.03	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $177.83	Professional		$58.88	$87.10	$177.83