Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $125.90	Facility		$83.93	$83.93	$125.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $81.95 / $83.93	Professional		$78.98	$81.95	$83.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.97 / $44,999.55 / $69,999.30	Facility		$119.97	$44,999.55	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $119.97 / $119.97	Professional		$119.97	$119.97	$119.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $88.87 / $88.87	Professional		$69.67	$88.87	$88.87
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $104.66 / $110.59	Professional		$98.74	$104.66	$110.59