Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.35 / $99.35 / $99.35	Facility		$99.35	$99.35	$99.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $99.71 / $115.57	Professional		$98.61	$99.71	$115.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.84 / $146.06 / $170.40	Facility		$116.84	$146.06	$170.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $102.24 / $113.16	Professional		$80.23	$102.24	$113.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $116.06 / $121.50	Facility		$95.00	$116.06	$121.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $110.94 / $260.56	Professional		$77.00	$110.94	$260.56
United Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $88.27 / $150.88	Professional		$63.21	$88.27	$150.88