Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $83.18 / $89.00	Professional		$79.12	$83.18	$89.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $215.81 / $301.47	Facility		$111.98	$215.81	$301.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $120.59 / $191.83	Professional		$111.90	$120.59	$191.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $187.33	Facility		$85.16	$85.16	$187.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $739.15	Professional		$62.17	$85.16	$739.15
United Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $85.94 / $149.63	Professional		$57.30	$85.94	$149.63