Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $50.47	Facility		$42.90	$42.90	$50.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $47.19	Professional		$42.90	$42.90	$47.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $39.86 / $61.76	Facility		$14.85	$39.86	$61.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $70.56	Professional		$16.20	$16.20	$70.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $85.00	Facility		$47.11	$47.11	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $222.97	Professional		$47.11	$47.11	$222.97
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $50.47 / $64.44	Professional		$50.47	$50.47	$64.44