Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $103.75 / $124.50	Facility		$68.06	$103.75	$124.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $68.06 / $70.55	Professional		$62.25	$68.06	$70.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $124.50 / $145.25	Facility		$91.30	$124.50	$145.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $99.60 / $112.05	Professional		$99.60	$99.60	$112.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $205.48 / $338.45	Facility		$67.44	$205.48	$338.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $114.36 / $400.06	Professional		$105.78	$114.36	$400.06
United Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Facility		$34.86	$34.86	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $42.62 / $124.74	Professional		$36.65	$42.62	$124.74