Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.22 / $67.22 / $67.22	Facility		$67.22	$67.22	$67.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $76.02 / $82.61	Professional		$67.22	$76.02	$82.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.56 / $265.32 / $291.85	Facility		$194.56	$265.32	$291.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.26 / $212.26 / $212.26	Professional		$212.26	$212.26	$212.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $360.15	Professional		$63.51	$63.51	$360.15
United Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $164.55 / $336.00	Professional		$112.19	$164.55	$336.00