Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $72.48 / $72.48	Facility		$72.48	$72.48	$72.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $72.48 / $77.95	Professional		$71.83	$72.48	$77.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.96 / $199.54 / $258.67	Facility		$98.96	$199.54	$258.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $106.57 / $182.69	Professional		$96.08	$106.57	$182.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $178.40	Facility		$98.15	$98.15	$178.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $98.15 / $726.28	Professional		$71.65	$98.15	$726.28
United Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $94.27 / $122.90	Professional		$72.19	$94.27	$122.90