Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $130.69 / $130.69	Professional		$123.00	$130.69	$130.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $52.40 / $52.40	Facility		$50.75	$52.40	$52.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $52.40 / $52.40	Professional		$52.40	$52.40	$52.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $60.56 / $130.69	Facility		$60.56	$60.56	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
United Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $128.13 / $153.75	Professional		$124.29	$128.13	$153.75