Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $74.86 / $76.73	Facility		$74.86	$74.86	$76.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $76.73 / $104.32	Professional		$75.61	$76.73	$104.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $113.96 / $113.96	Facility		$75.97	$113.96	$113.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $75.97 / $141.50	Facility		$71.67	$75.97	$141.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $183.12	Professional		$75.97	$75.97	$183.12
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $124.86	Professional		$75.97	$75.97	$124.86