Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $109.68 / $109.68	Facility		$109.68	$109.68	$109.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $109.68 / $115.54	Professional		$91.56	$109.68	$115.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $73.27 / $142.09	Facility		$52.52	$73.27	$142.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $55.33 / $67.17	Professional		$36.44	$55.33	$67.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $130.49 / $130.49	Facility		$130.49	$130.49	$130.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $147.35 / $355.08	Professional		$90.26	$147.35	$355.08
United Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $121.69 / $210.16	Professional		$86.42	$121.69	$210.16