Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.38 / $636.38 / $636.38	Facility		$636.38	$636.38	$636.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $51.67 / $63.17	Professional		$47.44	$51.67	$63.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $58.36 / $63.57	Facility		$53.04	$58.36	$63.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $56.51 / $56.51	Professional		$54.12	$56.51	$56.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $80.89 / $80.89	Facility		$80.89	$80.89	$80.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $65.23 / $202.85	Professional		$46.33	$65.23	$202.85
United Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $66.70 / $92.99	Professional		$43.12	$66.70	$92.99