Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $120.23	Professional		$63.10	$77.62	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $218.78	Facility		$104.71	$104.71	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $190.55	Professional		$112.20	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $251.19 / $251.19	Facility		$89.13	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $758.58	Professional		$64.57	$64.57	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $165.96	Facility		$70.79	$70.79	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $128.82	Professional		$64.57	$85.11	$128.82