Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $92.71 / $92.71	Facility		$92.71	$92.71	$92.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $96.99 / $102.52	Professional		$84.44	$96.99	$102.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $84.13 / $153.21	Facility		$45.28	$84.13	$153.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $47.66 / $47.66	Professional		$47.66	$47.66	$47.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.73 / $125.73 / $125.73	Facility		$125.73	$125.73	$125.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $114.73 / $481.76	Professional		$93.87	$114.73	$481.76
United Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $72.17 / $116.07	Professional		$56.32	$72.17	$116.07