Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $309.03 / $309.03	Facility		$40.74	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $89.13 / $162.18	Professional		$39.81	$89.13	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $51.29	Facility		$43.65	$43.65	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $123.03 / $1,023.29	Professional		$40.74	$123.03	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $97.72 / $257.04	Professional		$37.15	$97.72	$257.04