Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $65.28 / $65.28	Facility		$65.28	$65.28	$65.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $62.47 / $79.92	Professional		$60.85	$62.47	$79.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.13 / $166.48 / $221.13	Facility		$82.13	$166.48	$221.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $88.45 / $147.97	Professional		$82.13	$88.45	$147.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $159.10	Facility		$79.77	$79.77	$159.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $79.77 / $666.85	Professional		$58.23	$79.77	$666.85
United Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $67.53 / $105.06	Professional		$51.56	$67.53	$105.06