Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.94 / $83.35 / $115.41	Facility		$76.94	$83.35	$115.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $103.03	Professional		$75.03	$75.03	$103.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $76.18 / $114.27	Facility		$75.03	$76.18	$114.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $97.54 / $173.97	Professional		$75.03	$97.54	$173.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $105.97 / $105.97	Facility		$70.78	$105.97	$105.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $90.83	Professional		$75.02	$75.02	$90.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $83.52 / $124.74	Professional		$75.03	$83.52	$124.74