Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $134.90	Professional		$67.61	$85.11	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $213.80	Facility		$104.71	$104.71	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $190.55	Professional		$112.20	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $288.40 / $288.40	Facility		$100.00	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $870.96	Professional		$72.44	$72.44	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $186.21	Facility		$102.33	$104.71	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $138.04	Professional		$79.43	$104.71	$138.04