Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $57.17 / $57.17	Facility		$57.17	$57.17	$57.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $57.17 / $65.06	Professional		$30.10	$57.17	$65.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $133.34 / $239.31	Facility		$71.34	$133.34	$239.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $74.12 / $74.12	Professional		$74.12	$74.12	$74.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.40 / $175.95 / $181.60	Facility		$109.40	$175.95	$181.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $104.56 / $467.73	Professional		$54.09	$104.56	$467.73