Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $97.83 / $117.39	Facility		$64.17	$97.83	$117.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $63.39 / $64.17	Professional		$58.70	$63.39	$64.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $105.65 / $117.39	Facility		$86.09	$105.65	$117.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $93.91 / $105.65	Professional		$93.91	$93.91	$105.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $93.91 / $234.77	Facility		$63.59	$93.91	$234.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $112.54 / $503.11	Professional		$49.72	$112.54	$503.11
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $46.96 / $154.25	Professional		$32.86	$46.96	$154.25