Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.18 / $57.18 / $57.18	Facility		$57.18	$57.18	$57.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $63.53 / $70.05	Professional		$57.18	$63.53	$70.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $139.94 / $181.41	Facility		$69.41	$139.94	$181.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $74.75 / $128.15	Professional		$67.38	$74.75	$128.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $469.90	Professional		$45.55	$45.55	$469.90
United Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $53.44 / $90.04	Professional		$39.68	$53.44	$90.04