Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $239.88 / $302.00	Facility		$33.88	$239.88	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $181.97	Professional		$20.89	$28.84	$181.97
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $107.15 / $204.17 / $204.17	Professional	CQ	$107.15	$204.17	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $57.54	Facility		$34.67	$43.65	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $81.28	Professional		$34.67	$38.02	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $100.00	Facility		$58.88	$58.88	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $177.83	Professional		$26.92	$48.98	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $50.12	Professional		$26.30	$34.67	$50.12