Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.39 / $112.39 / $112.39	Facility		$112.39	$112.39	$112.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $184.14 / $303.75	Professional		$112.39	$184.14	$303.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $46.68 / $48.79	Facility		$46.68	$46.68	$48.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $46.68 / $48.79	Professional		$46.68	$46.68	$48.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Facility		$38.00	$38.00	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $66.81 / $66.81	Professional		$35.88	$66.81	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $21.03 / $37.67	Professional		$15.45	$21.03	$37.67