Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.81 / $69.81 / $69.81	Facility		$69.81	$69.81	$69.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $66.81 / $75.65	Professional		$65.08	$66.81	$75.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $182.43 / $239.60	Facility		$87.83	$182.43	$239.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $94.59 / $158.33	Professional		$87.83	$94.59	$158.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $174.28	Facility		$103.32	$103.32	$174.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $730.47	Professional		$75.42	$103.32	$730.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $71.09 / $112.37	Professional		$55.16	$71.09	$112.37