Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $112.20	Facility		$74.13	$74.13	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $81.28	Professional		$72.44	$74.13	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $107.15	Facility		$69.18	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $316.23	Professional		$74.13	$74.13	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $83.18	Professional		$74.13	$77.62	$83.18