Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $73.12 / $73.12	Facility		$73.12	$73.12	$73.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $73.12 / $162.85	Professional		$37.60	$73.12	$162.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $50.28 / $86.65	Facility		$33.67	$50.28	$86.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $35.22 / $35.22	Professional		$35.22	$35.22	$35.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.23 / $90.23 / $90.23	Facility		$90.23	$90.23	$90.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $97.91 / $372.63	Professional		$59.44	$97.91	$372.63
United Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $64.75 / $117.20	Professional		$31.06	$64.75	$117.20