Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $79.15 / $79.15	Facility		$79.15	$79.15	$79.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $75.75 / $79.15	Professional		$73.78	$75.75	$79.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $206.82 / $268.10	Facility		$102.60	$206.82	$268.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $110.49 / $189.41	Professional		$99.58	$110.49	$189.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $184.97	Facility		$99.06	$99.06	$184.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.06 / $752.84	Professional		$72.31	$99.06	$752.84
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $77.67 / $127.39	Professional		$58.64	$77.67	$127.39