Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.34 / $421.34 / $421.34	Facility		$421.34	$421.34	$421.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $495.67 / $613.40	Professional		$421.34	$495.67	$613.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $47.27 / $83.61	Facility		$29.46	$47.27	$83.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $28.54 / $28.54	Professional		$28.54	$28.54	$28.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $77.37 / $1,051.64	Facility		$77.37	$77.37	$1,051.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $95.99 / $324.29	Professional		$54.62	$95.99	$324.29
United Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $178.24 / $794.47	Professional		$70.45	$178.24	$794.47