Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $55.11 / $55.11	Facility		$50.10	$55.11	$55.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $52.79 / $55.11	Professional		$49.07	$52.79	$55.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $70.50 / $82.25	Facility		$56.40	$70.50	$82.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $51.70 / $54.61	Professional		$47.00	$51.70	$54.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $58.53 / $58.53	Facility		$58.53	$58.53	$58.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $80.01 / $117.60	Professional		$43.34	$80.01	$117.60
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $47.37 / $76.92	Professional		$36.86	$47.37	$76.92