Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $85.11 / $85.11	Facility		$75.86	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $9,332.54	Professional		$75.86	$75.86	$9,332.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $114.82	Facility		$75.86	$114.82	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $75.86 / $109.65	Facility		$70.79	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $323.59 / $323.59	Professional		$75.86	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $97.72	Professional		$74.13	$75.86	$97.72