Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.21 / $44.21 / $44.21	Facility		$44.21	$44.21	$44.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $44.21 / $52.89	Professional		$39.88	$44.21	$52.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $52.03 / $56.70	Facility		$47.14	$52.03	$56.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $50.40	Professional		$50.40	$50.40	$50.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $65.45 / $205.81	Professional		$42.99	$65.45	$205.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.70 / $1,225.70 / $1,225.70	Facility		$1,225.70	$1,225.70	$1,225.70
United Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $54.29 / $91.66	Professional		$36.99	$54.29	$91.66