Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.94 / $70.94 / $70.94	Facility		$70.94	$70.94	$70.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $67.90 / $76.04	Professional		$65.34	$67.90	$76.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $178.25 / $240.31	Facility		$89.26	$178.25	$240.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $96.12 / $158.44	Professional		$89.26	$96.12	$158.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $162.13	Facility		$92.98	$92.98	$162.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $679.57	Professional		$67.88	$67.88	$679.57
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $70.13 / $114.71	Professional		$52.94	$70.13	$114.71