Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $89.04 / $106.85	Facility		$58.41	$89.04	$106.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $57.70 / $58.41	Professional		$53.42	$57.70	$58.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $96.16 / $106.85	Facility		$78.34	$96.16	$106.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $85.48 / $96.16	Professional		$85.48	$85.48	$96.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $85.48 / $213.67	Facility		$57.88	$85.48	$213.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $102.22 / $343.33	Professional		$29.72	$102.22	$343.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $32.09 / $103.15	Professional		$29.92	$32.09	$103.15