Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.05 / $610.05 / $610.05	Facility		$610.05	$610.05	$610.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $42.02 / $45.20	Professional		$41.65	$42.02	$45.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $115.70 / $149.97	Facility		$57.38	$115.70	$149.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $61.80 / $105.94	Professional		$55.71	$61.80	$105.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $103.45	Facility		$69.70	$69.70	$103.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.70 / $422.67	Professional		$59.25	$69.70	$422.67
United Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $54.66 / $71.26	Professional		$42.76	$54.66	$71.26