Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.77 / $86.77 / $86.77	Facility		$86.77	$86.77	$86.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $83.04 / $86.77	Professional		$80.89	$83.04	$86.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.31 / $226.76 / $293.95	Facility		$131.31	$226.76	$293.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $141.41 / $242.41	Professional		$109.18	$141.41	$242.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $236.74	Facility		$132.63	$132.63	$236.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.63 / $821.86	Professional		$96.83	$132.63	$821.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $83.79 / $131.44	Professional		$63.35	$83.79	$131.44