Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $71.38 / $76.77	Professional		$71.38	$71.38	$76.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.30 / $196.51 / $254.73	Facility		$108.30	$196.51	$254.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $116.63 / $199.94	Professional		$94.61	$116.63	$199.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $195.25	Facility		$97.54	$97.54	$195.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $794.38	Professional		$71.20	$97.54	$794.38
United Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $97.26 / $126.44	Professional		$72.62	$97.26	$126.44