Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $69.04 / $79.73	Facility		$69.04	$69.04	$79.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $75.30 / $88.19	Professional		$63.55	$75.30	$88.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $99.24 / $115.78	Facility		$79.39	$99.24	$115.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $76.88 / $82.59	Professional		$62.04	$76.88	$82.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.69 / $110.69 / $110.69	Facility		$110.69	$110.69	$110.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.70 / $204.56	Professional		$63.10	$89.70	$204.56
United Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $78.56 / $139.68	Professional		$57.88	$78.56	$139.68