Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $109.30 / $1,400.00	Facility		$44.46	$109.30	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $68.95 / $139.65	Professional		$44.46	$68.95	$139.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $58.19 / $77.88	Facility		$47.85	$58.19	$77.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $51.72 / $51.72	Professional		$51.72	$51.72	$51.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Facility		$76.73	$76.73	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $124.04 / $274.99	Professional		$60.34	$124.04	$274.99
United Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $160.85 / $268.87	Professional		$89.97	$160.85	$268.87