Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $92.45 / $92.45	Facility		$47.40	$92.45	$92.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $92.45 / $96.12	Professional		$91.54	$92.45	$96.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $137.31	Facility		$91.54	$91.54	$137.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $212.24	Professional		$91.54	$91.54	$212.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $136.00 / $136.00	Facility		$86.36	$136.00	$136.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $211.87	Professional		$91.54	$91.54	$211.87