Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $52.20 / $62.64	Facility		$34.24	$52.20	$62.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $34.24 / $35.50	Professional		$31.32	$34.24	$35.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $62.64 / $73.08	Facility		$45.94	$62.64	$73.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $50.11 / $56.38	Professional		$50.11	$50.11	$56.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $50.11 / $125.25	Facility		$33.93	$50.11	$125.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $78.38 / $268.08	Professional		$23.80	$78.38	$268.08
United Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Facility		$25.06	$25.06	$25.06
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $20.88 / $66.81	Professional		$16.64	$20.88	$66.81