Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.86 / $108.03 / $118.83	Facility		$96.86	$108.03	$118.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $100.70	Professional		$95.90	$95.90	$100.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $105.49 / $143.85	Facility		$95.90	$105.49	$143.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $222.35	Professional		$95.90	$95.90	$222.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $280.50 / $280.50	Facility		$90.47	$280.50	$280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $135.71	Professional		$95.90	$95.90	$135.71
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $106.76 / $732.42	Professional		$95.90	$106.76	$732.42