Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.46 / $86.46 / $86.46	Facility		$86.46	$86.46	$86.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $86.46 / $126.89	Professional		$64.04	$86.46	$126.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $179.91 / $247.26	Facility		$91.84	$179.91	$247.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $98.90 / $169.55	Professional		$91.84	$98.90	$169.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $182.46	Facility		$133.72	$133.72	$182.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $133.72 / $638.99	Professional		$97.62	$133.72	$638.99
United Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $99.52 / $165.87	Professional		$81.87	$99.52	$165.87