Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $73.59 / $92.09	Facility		$69.06	$73.59	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $93.35 / $189.17	Professional		$75.29	$93.35	$189.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $125.41 / $165.54	Facility		$97.13	$125.41	$165.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.68 / $232.63 / $232.63	Professional		$206.68	$232.63	$232.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $122.08 / $122.08	Facility		$122.08	$122.08	$122.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $153.40 / $502.05	Professional		$106.05	$153.40	$502.05
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $96.66 / $150.94	Professional		$66.00	$96.66	$150.94