Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $64.14 / $64.14	Facility		$64.14	$64.14	$64.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $61.39 / $64.14	Professional		$59.80	$61.39	$64.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $167.62 / $217.28	Facility		$83.10	$167.62	$217.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $89.49 / $153.41	Professional		$80.70	$89.49	$153.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $149.81	Facility		$70.98	$70.98	$149.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $609.97	Professional		$51.82	$70.98	$609.97
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $62.92 / $103.23	Professional		$47.50	$62.92	$103.23