Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.85 / $83.85 / $83.85	Facility		$83.85	$83.85	$83.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $93.94 / $121.52	Professional		$83.85	$93.94	$121.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.37 / $205.19 / $265.98	Facility		$91.37	$205.19	$265.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $182.39 / $352.38	Professional		$98.79	$182.39	$352.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $178.12 / $178.12	Facility		$178.12	$178.12	$178.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $732.59	Professional		$62.01	$62.01	$732.59
United Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $82.28 / $158.88	Professional		$73.14	$82.28	$158.88