Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $323.70 / $323.70	Facility		$323.70	$323.70	$323.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $262.73 / $323.70	Professional		$143.10	$262.73	$323.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $67.59 / $90.34	Facility		$39.03	$67.59	$90.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $34.15 / $108.22	Professional		$30.34	$34.15	$108.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $66.81 / $66.81	Professional		$35.88	$66.81	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $26.98 / $43.89	Professional		$20.14	$26.98	$43.89