Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $93.33 / $125.89	Facility		$8.91	$93.33	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $169.82	Professional		$67.61	$107.15	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $141.25	Facility		$83.18	$102.33	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $251.19	Professional		$104.71	$123.03	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $346.74	Professional		$83.18	$123.03	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $181.97	Professional		$77.62	$117.49	$181.97