Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.69 / $214.69 / $214.69	Facility		$214.69	$214.69	$214.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $21.56 / $21.56	Professional		$20.30	$21.56	$21.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $38.06 / $44.40	Facility		$30.44	$38.06	$44.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $34.25	Professional		$30.44	$30.44	$34.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $39.93 / $176.27	Professional		$36.93	$39.93	$176.27
United Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $18.71 / $42.11	Professional		$13.95	$18.71	$42.11