Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $75.86	Professional		$48.98	$58.88	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $74.13	Facility		$61.66	$61.66	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $275.42	Professional		$36.31	$61.66	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $109.65	Professional		$48.98	$69.18	$109.65