Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $83.19 / $83.19	Facility		$83.19	$83.19	$83.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $79.62 / $83.19	Professional		$67.36	$79.62	$83.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $201.29 / $281.80	Facility		$104.67	$201.29	$281.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $112.72 / $166.32	Professional		$97.02	$112.72	$166.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $181.19	Facility		$89.65	$89.65	$181.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $759.44	Professional		$65.44	$89.65	$759.44
United Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $80.33 / $133.88	Professional		$57.95	$80.33	$133.88