Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $71.78 / $84.79	Professional		$69.92	$71.78	$84.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $195.98 / $254.05	Facility		$94.36	$195.98	$254.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $101.62 / $174.20	Professional		$94.36	$101.62	$174.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $186.20	Facility		$100.43	$100.43	$186.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $780.41	Professional		$73.31	$100.43	$780.41
United Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $78.13 / $120.71	Professional		$60.70	$78.13	$120.71