Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $76.84 / $76.84	Facility		$55.46	$76.84	$76.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.84 / $79.89	Professional		$76.09	$76.84	$79.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $114.14	Facility		$76.09	$76.09	$114.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $176.42	Professional		$76.09	$76.09	$176.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $285.18 / $285.18	Facility		$71.78	$285.18	$285.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $333.68	Professional		$76.09	$76.09	$333.68