Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $24.32 / $24.32	Facility		$24.32	$24.32	$24.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $30.16 / $37.22	Professional		$24.32	$30.16	$37.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $66.50 / $90.68	Facility		$52.86	$66.50	$90.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $72.54 / $140.16	Professional		$51.19	$72.54	$140.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Facility		$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $238.54	Professional		$30.86	$30.86	$238.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $34.07 / $65.80	Professional		$30.16	$34.07	$65.80