Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $80.33 / $80.33	Facility		$80.33	$80.33	$80.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $81.50 / $95.85	Professional		$76.58	$81.50	$95.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $54.47 / $104.14	Facility		$33.67	$54.47	$104.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $35.22 / $35.22	Professional		$35.22	$35.22	$35.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $107.99 / $406.90	Professional		$65.56	$107.99	$406.90
United Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $79.70 / $181.75	Professional		$31.92	$79.70	$181.75