Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $84.20 / $101.04	Facility		$55.24	$84.20	$101.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $54.56 / $55.24	Professional		$50.52	$54.56	$55.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $90.94 / $101.04	Facility		$74.09	$90.94	$101.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $80.83 / $90.94	Professional		$80.83	$80.83	$90.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $80.83 / $202.04	Facility		$54.73	$80.83	$202.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $96.54 / $402.13	Professional		$38.31	$96.54	$402.13
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.42 / $107.78	Professional		$28.29	$40.42	$107.78