Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $73.28 / $87.93	Facility		$48.07	$73.28	$87.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $48.07 / $49.83	Professional		$43.97	$48.07	$49.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $87.93 / $102.59	Facility		$64.48	$87.93	$102.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $70.34 / $79.14	Professional		$70.34	$70.34	$79.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $70.34 / $175.83	Facility		$47.63	$70.34	$175.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $80.34 / $282.55	Professional		$24.37	$80.34	$282.55
United Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $35.17 / $35.17	Facility		$35.17	$35.17	$35.17
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $26.38 / $93.79	Professional		$16.64	$26.38	$93.79