Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $69.61 / $69.61	Facility		$69.61	$69.61	$69.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $65.72 / $69.61	Professional		$59.50	$65.72	$69.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.59 / $168.44 / $235.81	Facility		$87.59	$168.44	$235.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $94.33 / $144.28	Professional		$84.16	$94.33	$144.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $152.61	Facility		$73.43	$73.43	$152.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $73.43 / $639.61	Professional		$53.60	$73.43	$639.61
United Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $67.22 / $112.04	Professional		$49.13	$67.22	$112.04