Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.24 / $63.24 / $63.24	Facility		$63.24	$63.24	$63.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $64.52 / $88.28	Professional		$63.24	$64.52	$88.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $150.99 / $184.46	Facility		$101.25	$150.99	$184.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $198.65 / $198.65	Professional		$120.79	$198.65	$198.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $187.04	Facility		$56.50	$56.50	$187.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $562.83	Professional		$41.25	$56.50	$562.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $89.45 / $179.68	Professional		$66.98	$89.45	$179.68