Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $63.10 / $67.87	Professional		$62.54	$63.10	$67.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $173.70 / $225.17	Facility		$86.17	$173.70	$225.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $92.80 / $159.08	Professional		$83.64	$92.80	$159.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $155.35	Facility		$104.66	$104.66	$155.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $104.66 / $632.29	Professional		$88.96	$104.66	$632.29
United Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $85.98 / $107.48	Professional		$64.19	$85.98	$107.48