Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Facility		$77.62	$77.62	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Professional		$89.13	$89.13	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,412.54 / $1,412.54	Facility		$85.11	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $380.19	Professional		$89.13	$89.13	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,621.81 / $1,659.59	Professional		$125.89	$1,621.81	$1,659.59