Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $155.80 / $267.30	Facility		$54.00	$155.80	$267.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $22.62 / $31.09	Professional		$21.29	$22.62	$31.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $33.26 / $39.92	Facility		$26.61	$33.26	$39.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $35.92 / $35.92	Professional		$26.61	$35.92	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $61.77 / $61.77	Facility		$61.77	$61.77	$61.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $49.79 / $200.13	Professional		$46.05	$49.79	$200.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $23.21 / $52.22	Professional		$14.64	$23.21	$52.22