Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $42.42 / $75.98	Facility		$42.42	$42.42	$75.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $54.76 / $78.91	Professional		$38.65	$54.76	$78.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $61.58 / $71.84	Facility		$45.18	$61.58	$71.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $47.71 / $47.71	Professional		$47.71	$47.71	$47.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $76.59 / $196.46	Professional		$41.62	$76.59	$196.46
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $83.12 / $129.08	Professional		$52.89	$83.12	$129.08