Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $75.00 / $90.00	Facility		$49.20	$75.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $48.60 / $49.20	Professional		$45.00	$48.60	$49.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $81.00 / $90.00	Facility		$66.00	$81.00	$90.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $81.00	Professional		$72.00	$72.00	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $72.00 / $179.99	Facility		$48.75	$72.00	$179.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $86.21 / $289.20	Professional		$9.58	$86.21	$289.20
United Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $23.41 / $44.28	Professional		$9.83	$23.41	$44.28