Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $82.42 / $82.42	Facility		$82.42	$82.42	$82.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $78.88 / $82.42	Professional		$65.30	$78.88	$82.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $199.43 / $279.20	Facility		$103.70	$199.43	$279.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $111.68 / $152.75	Professional		$89.10	$111.68	$152.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $164.75	Facility		$104.21	$104.21	$164.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $690.51	Professional		$76.06	$76.06	$690.51
United Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $79.59 / $132.65	Professional		$53.23	$79.59	$132.65