Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.08 / $79.08 / $79.08	Facility		$79.08	$79.08	$79.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $75.68 / $79.08	Professional		$70.20	$75.68	$79.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.95 / $206.64 / $267.87	Facility		$120.95	$206.64	$267.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $130.26 / $223.30	Professional		$99.50	$130.26	$223.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $218.05	Facility		$90.28	$90.28	$218.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $724.93	Professional		$65.90	$90.28	$724.93
United Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $77.29 / $127.28	Professional		$58.36	$77.29	$127.28