Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.42 / $74.42 / $74.42	Facility		$74.42	$74.42	$74.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $71.22 / $74.42	Professional		$69.37	$71.22	$74.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $194.45 / $252.07	Facility		$96.43	$194.45	$252.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $103.85 / $333.96	Professional		$93.63	$103.85	$333.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $173.84	Facility		$83.71	$83.71	$173.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $83.71 / $708.64	Professional		$38.19	$83.71	$708.64
United Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $73.28 / $119.77	Professional		$62.05	$73.28	$119.77