Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $125.89	Professional		$61.66	$79.43	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $251.19	Facility		$120.23	$120.23	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $223.87	Professional		$128.82	$128.82	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $251.19 / $251.19	Facility		$91.20	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $724.44	Professional		$66.07	$66.07	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $162.18	Facility		$39.81	$69.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $125.89	Professional		$63.10	$83.18	$125.89