Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $83.28 / $83.28	Facility		$83.28	$83.28	$83.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $79.70 / $83.28	Professional		$65.88	$79.70	$83.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.78 / $201.50 / $282.10	Facility		$104.78	$201.50	$282.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $112.84 / $162.24	Professional		$94.64	$112.84	$162.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $172.39	Facility		$112.36	$112.36	$172.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $722.52	Professional		$82.02	$112.36	$722.52
United Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $80.42 / $134.03	Professional		$56.53	$80.42	$134.03