Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $98.31 / $117.98	Facility		$64.48	$98.31	$117.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $63.71 / $64.48	Professional		$58.99	$63.71	$64.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $106.18 / $117.98	Facility		$86.52	$106.18	$117.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $94.38 / $106.18	Professional		$94.38	$94.38	$106.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $94.38 / $235.92	Facility		$63.90	$94.38	$235.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $113.06 / $379.09	Professional		$22.54	$113.06	$379.09
United Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $27.65 / $77.98	Professional		$23.22	$27.65	$77.98