Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $34.81	Facility		$34.81	$34.81	$34.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $38.68 / $42.64	Professional		$34.81	$38.68	$42.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $85.19 / $110.43	Facility		$41.02	$85.19	$110.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $44.17 / $75.72	Professional		$41.02	$44.17	$75.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $46.83 / $73.94	Facility		$37.90	$46.83	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $305.30	Professional		$32.22	$37.90	$305.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $31.61 / $58.71	Professional		$23.03	$31.61	$58.71