Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $82.86 / $91.15	Facility		$82.72	$82.86	$91.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $86.00	Professional		$81.90	$81.90	$86.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $90.09 / $122.85	Facility		$81.90	$90.09	$122.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $189.88	Professional		$81.90	$81.90	$189.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $85.98 / $85.98	Facility		$77.26	$85.98	$85.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $84.99	Professional		$81.90	$81.90	$84.99
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $90.09 / $104.39	Professional		$81.90	$90.09	$104.39