Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $60.46	Facility		$60.46	$60.46	$60.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $57.87 / $60.46	Professional		$56.36	$57.87	$60.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.08 / $158.00 / $204.82	Facility		$76.08	$158.00	$204.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $81.93 / $140.44	Professional		$76.08	$81.93	$140.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $137.16	Facility		$75.70	$75.70	$137.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $564.13	Professional		$55.27	$55.27	$564.13
United Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $59.30 / $97.75	Professional		$52.09	$59.30	$97.75