Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $94.50 / $113.40	Facility		$61.99	$94.50	$113.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $61.99 / $64.26	Professional		$56.70	$61.99	$64.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $113.40 / $132.30	Facility		$83.16	$113.40	$132.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $90.72 / $102.06	Professional		$90.72	$90.72	$102.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $90.72 / $226.78	Facility		$61.43	$90.72	$226.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $87.14 / $364.39	Professional		$38.29	$87.14	$364.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $26.46 / $47.67	Professional		$12.57	$26.46	$47.67