Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $78.26 / $78.26	Facility		$78.26	$78.26	$78.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $72.95 / $78.26	Professional		$62.58	$72.95	$78.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.47 / $189.36 / $265.11	Facility		$98.47	$189.36	$265.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $106.04 / $154.51	Professional		$90.13	$106.04	$154.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $165.98	Facility		$80.45	$80.45	$165.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $695.67	Professional		$58.73	$80.45	$695.67
United Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $75.58 / $125.96	Professional		$53.84	$75.58	$125.96