Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $115.04 / $133.13	Facility		$90.24	$115.04	$133.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $102.74	Professional		$89.34	$89.34	$102.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $98.27 / $134.01	Facility		$89.34	$98.27	$134.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $207.14	Professional		$89.34	$89.34	$207.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $137.66 / $137.66	Facility		$84.29	$137.66	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $104.58	Professional		$89.34	$89.34	$104.58
United Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $172.56 / $172.56	Facility		$172.56	$172.56	$172.56
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $98.27 / $139.44	Professional		$89.34	$98.27	$139.44