Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.93 / $56.93 / $56.93	Facility		$56.93	$56.93	$56.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $52.22 / $59.85	Professional		$52.22	$52.22	$59.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $62.56 / $100.22	Facility		$16.43	$62.56	$100.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $17.60 / $17.60	Professional		$17.60	$17.60	$17.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $66.26 / $770.09	Facility		$66.26	$66.26	$770.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $130.72 / $954.84	Professional		$47.57	$130.72	$954.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $157.27 / $355.26	Professional		$54.55	$157.27	$355.26