Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $288.40	Professional		$72.44	$89.13	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $54.95 / $104.71	Facility		$33.88	$54.95	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $407.38	Professional		$66.07	$107.15	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $74.13 / $147.91	Professional		$31.62	$74.13	$147.91