Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.79 / $59.79 / $59.79	Facility		$59.79	$59.79	$59.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $59.79 / $72.27	Professional		$59.79	$59.79	$72.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.09 / $164.61 / $213.38	Facility		$88.09	$164.61	$213.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $94.86 / $162.62	Professional		$79.25	$94.86	$162.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $158.81	Facility		$89.19	$89.19	$158.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $89.19 / $664.58	Professional		$65.11	$89.19	$664.58
United Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $79.90 / $101.38	Professional		$59.56	$79.90	$101.38