Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $97.72	Facility		$52.48	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $74.13	Professional		$42.66	$51.29	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $194.98	Facility		$53.70	$102.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $309.03 / $309.03	Professional		$74.13	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $64.57	Professional		$26.92	$28.84	$64.57