Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $74.28 / $80.91	Facility		$73.55	$74.28	$80.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $77.63	Professional		$73.94	$73.94	$77.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $81.33 / $110.91	Facility		$73.94	$81.33	$110.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $171.44	Professional		$73.94	$73.94	$171.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $85.00 / $85.00	Facility		$69.75	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $76.73	Professional		$73.94	$73.94	$76.73
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $81.33 / $83.83	Professional		$73.94	$81.33	$83.83