Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $77.23 / $77.23	Facility		$77.23	$77.23	$77.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $77.23 / $94.17	Professional		$55.53	$77.23	$94.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $155.99 / $214.38	Facility		$79.63	$155.99	$214.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $85.75 / $147.00	Professional		$79.63	$85.75	$147.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $142.72	Facility		$128.79	$128.79	$142.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $128.79 / $548.66	Professional		$94.02	$128.79	$548.66
United Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $96.57 / $158.36	Professional		$75.05	$96.57	$158.36