Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $82.08	Facility		$82.08	$82.08	$82.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $78.56 / $82.85	Professional		$68.29	$78.56	$82.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.27 / $198.59 / $278.02	Facility		$103.27	$198.59	$278.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $111.21 / $165.58	Professional		$96.59	$111.21	$165.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $173.65	Facility		$86.21	$86.21	$173.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $727.82	Professional		$62.93	$86.21	$727.82
United Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $79.27 / $132.11	Professional		$57.70	$79.27	$132.11