Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.18 / $93.18 / $93.18	Facility		$93.18	$93.18	$93.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $93.18 / $100.22	Professional		$92.35	$93.18	$100.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.21 / $256.52 / $332.54	Facility		$127.21	$256.52	$332.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $137.00 / $234.85	Professional		$123.51	$137.00	$234.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $229.34	Facility		$67.73	$67.73	$229.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $861.29	Professional		$57.58	$67.73	$861.29
United Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $121.22 / $158.69	Professional		$94.80	$121.22	$158.69