Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.88 / $107.36 / $107.36	Facility		$68.88	$107.36	$107.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $71.61	Professional		$68.20	$68.20	$71.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $75.02 / $102.30	Facility		$68.20	$75.02	$102.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $158.12	Professional		$68.20	$68.20	$158.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $222.81 / $222.81	Facility		$64.34	$222.81	$222.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $71.65	Professional		$68.20	$68.20	$71.65
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $75.70 / $211.17	Professional		$68.20	$75.70	$211.17