Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.18 / $702.18 / $702.18	Facility		$702.18	$702.18	$702.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $26.52 / $29.24	Professional		$12.69	$26.52	$29.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $64.91 / $75.72	Facility		$47.60	$64.91	$75.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $51.92 / $100.32	Professional		$28.13	$51.92	$100.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $209.33	Professional		$22.09	$22.09	$209.33
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $21.72	Professional		$15.00	$15.00	$21.72