Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $88.86 / $88.86	Facility		$56.34	$88.86	$88.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $88.86 / $92.38	Professional		$87.98	$88.86	$92.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $131.97	Facility		$87.98	$87.98	$131.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $203.99	Professional		$87.98	$87.98	$203.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $149.77 / $149.77	Facility		$83.00	$149.77	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
United Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $87.98 / $93.84	Professional		$85.34	$87.98	$93.84