Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $85.75 / $102.90	Facility		$56.25	$85.75	$102.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $56.25 / $58.31	Professional		$51.45	$56.25	$58.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $102.90 / $120.05	Facility		$75.45	$102.90	$120.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $82.32 / $92.61	Professional		$82.32	$82.32	$92.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $82.32 / $205.78	Facility		$55.74	$82.32	$205.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $128.65 / $440.69	Professional		$39.02	$128.65	$440.69
United Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $28.81 / $28.81	Facility		$28.81	$28.81	$28.81
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $60.09 / $158.13	Professional		$37.72	$60.09	$158.13