Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.59 / $95.59 / $95.59	Facility		$95.59	$95.59	$95.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $92.80 / $111.10	Professional		$92.39	$92.80	$111.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.87 / $120.95 / $161.88	Facility		$81.87	$120.95	$161.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $101.75 / $107.51	Professional		$92.50	$101.75	$107.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $109.60 / $109.60	Facility		$95.00	$109.60	$109.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $100.88 / $212.43	Professional		$75.05	$100.88	$212.43
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $90.83 / $143.34	Professional		$62.70	$90.83	$143.34