Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $34.22	Facility		$34.22	$34.22	$34.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $42.58 / $52.47	Professional		$34.22	$42.58	$52.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $93.70 / $127.77	Facility		$74.63	$93.70	$127.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $102.22 / $197.48	Professional		$72.28	$102.22	$197.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $80.53	Facility		$80.53	$80.53	$80.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $336.77	Professional		$43.49	$43.49	$336.77
United Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $46.03 / $85.18	Professional		$41.61	$46.03	$85.18