Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $165.96	Professional		$72.44	$97.72	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $323.59	Facility		$154.88	$154.88	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $288.40	Professional		$169.82	$169.82	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $323.59	Facility		$117.49	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $977.24	Professional		$85.11	$85.11	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $208.93	Facility		$77.62	$89.13	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $151.36	Professional		$81.28	$102.33	$151.36