Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $70.68 / $70.68	Facility		$70.68	$70.68	$70.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.68 / $93.41	Professional		$70.38	$70.68	$93.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $194.59 / $252.25	Facility		$93.69	$194.59	$252.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $100.90 / $172.97	Professional		$93.69	$100.90	$172.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $179.47	Facility		$90.07	$90.07	$179.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $752.21	Professional		$65.75	$90.07	$752.21
United Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $86.66 / $120.39	Professional		$71.91	$86.66	$120.39