Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $83.38 / $100.05	Facility		$54.69	$83.38	$100.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $54.69 / $87.78	Professional		$50.03	$54.69	$87.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $90.05 / $100.05	Facility		$73.37	$90.05	$100.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $90.05	Professional		$80.04	$80.04	$90.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $80.04 / $200.11	Facility		$54.20	$80.04	$200.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $95.51 / $427.84	Professional		$40.14	$95.51	$427.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $40.89 / $106.72	Professional		$30.02	$40.89	$106.72