Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $74.08 / $86.38	Facility		$39.90	$74.08	$86.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $72.68 / $159.63	Professional		$58.20	$72.68	$159.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $79.45 / $117.07	Facility		$70.95	$79.45	$117.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $78.05 / $164.50	Professional		$70.95	$78.05	$164.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $90.09 / $95.00	Facility		$86.65	$90.09	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $81.12 / $190.19	Professional		$38.24	$81.12	$190.19
United Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $70.95 / $110.29	Professional		$50.05	$70.95	$110.29