Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $93.07 / $93.07	Facility		$93.07	$93.07	$93.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $89.07 / $93.59	Professional		$86.76	$89.07	$93.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.11 / $243.19 / $315.25	Facility		$144.11	$243.19	$315.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $162.13 / $288.23	Professional		$117.09	$162.13	$288.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $281.47	Facility		$116.53	$116.53	$281.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $975.52	Professional		$85.07	$85.07	$975.52
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $96.29 / $149.79	Professional		$75.31	$96.29	$149.79