Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $396.90 / $396.90	Facility		$92.25	$396.90	$396.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $49.82 / $50.43	Professional		$40.13	$49.82	$50.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $83.03 / $92.25	Facility		$67.65	$83.03	$92.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $73.80 / $83.03	Professional		$73.80	$73.80	$83.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $89.79 / $184.51	Facility		$49.98	$89.79	$184.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $88.28 / $296.43	Professional		$19.57	$88.28	$296.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $25.08 / $67.72	Professional		$20.16	$25.08	$67.72