Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $205.70 / $205.70	Professional		$193.60	$205.70	$205.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $71.69 / $71.69	Facility		$69.43	$71.69	$71.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $71.69	Professional		$71.69	$71.69	$71.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $215.05 / $215.05	Facility		$205.70	$215.05	$215.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
United Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $220.00 / $242.00	Professional		$213.40	$220.00	$242.00