Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $562.34 / $21,877.62	Facility		$87.10	$562.34	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Professional		$79.43	$79.43	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $117.49	Facility		$77.62	$77.62	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $181.97	Professional		$77.62	$77.62	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $117.49	Facility		$75.86	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $331.13	Professional		$79.43	$79.43	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $102.33	Professional		$79.43	$85.11	$102.33