Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $90.33 / $99.59	Professional		$78.67	$90.33	$99.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.58 / $198.95 / $257.89	Facility		$88.58	$198.95	$257.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $176.84 / $341.68	Professional		$95.79	$176.84	$341.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $710.32	Professional		$60.12	$60.12	$710.32
United Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $79.64 / $154.06	Professional		$69.14	$79.64	$154.06