Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.30 / $105.30 / $105.30	Facility		$105.30	$105.30	$105.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $85.07 / $105.30	Professional		$75.31	$85.07	$105.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $91.94 / $247.52	Facility		$9.19	$91.94	$247.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $74.26 / $107.19	Professional		$9.90	$74.26	$107.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $194.14	Facility		$96.60	$96.60	$194.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $96.60 / $671.62	Professional		$94.41	$96.60	$671.62
United Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $114.21 / $194.14	Professional		$79.63	$114.21	$194.14