Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.72 / $205.72 / $205.72	Facility		$205.72	$205.72	$205.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.72 / $235.67 / $276.14	Professional		$205.72	$235.67	$276.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $55.40 / $97.85	Facility		$34.40	$55.40	$97.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $90.77 / $488.10	Facility		$90.77	$90.77	$488.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $112.34 / $380.44	Professional		$64.75	$112.34	$380.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $171.38 / $450.33	Professional		$79.69	$171.38	$450.33