Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $1,412.54	Facility		$54.95	$54.95	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $77.62	Professional		$50.12	$56.23	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Facility		$57.54	$57.54	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $93.33	Facility		$34.67	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $346.74	Professional		$51.29	$74.13	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Facility		$1,230.27	$1,230.27	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $93.33	Professional		$43.65	$60.26	$93.33