Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $90.30 / $90.30	Facility		$65.18	$90.30	$90.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $90.30 / $93.88	Professional		$89.41	$90.30	$93.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $134.12	Facility		$89.41	$89.41	$134.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $207.30	Professional		$89.41	$89.41	$207.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $191.25 / $191.25	Facility		$84.35	$191.25	$191.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
United Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $89.41 / $225.11	Professional		$86.73	$89.41	$225.11