Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $97.50 / $97.50	Facility		$58.50	$97.50	$97.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $31.59 / $31.98	Professional		$29.25	$31.59	$31.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $52.65 / $58.50	Facility		$42.90	$52.65	$58.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $46.80 / $52.65	Professional		$46.80	$46.80	$52.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $50.00 / $116.99	Facility		$31.69	$50.00	$116.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $56.27 / $187.98	Professional		$11.13	$56.27	$187.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $14.31 / $38.64	Professional		$11.50	$14.31	$38.64