Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.78 / $57.59 / $69.11	Facility		$37.78	$57.59	$69.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $37.32 / $37.78	Professional		$34.54	$37.32	$37.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $62.19 / $69.11	Facility		$50.68	$62.19	$69.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $55.28 / $62.19	Professional		$55.28	$55.28	$62.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.44 / $55.28 / $138.22	Facility		$37.44	$55.28	$138.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $66.08 / $295.64	Professional		$26.20	$66.08	$295.64
United Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Facility		$19.35	$19.35	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.64 / $90.80	Professional		$19.35	$27.64	$90.80