Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $102.04 / $102.04	Facility		$68.98	$102.04	$102.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $102.04 / $106.08	Professional		$101.03	$102.04	$106.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $151.55	Facility		$101.03	$101.03	$151.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $234.23	Professional		$101.03	$101.03	$234.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $174.32 / $174.32	Facility		$95.31	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $252.73	Professional		$101.03	$101.03	$252.73