Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $104.04	Facility		$88.43	$88.43	$104.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $88.43 / $88.43	Professional		$86.35	$88.43	$88.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.03 / $70.25 / $122.94	Facility		$68.03	$70.25	$122.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $132.13	Professional		$88.43	$88.43	$132.13
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $104.04	Professional		$86.70	$86.70	$104.04