Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $46.83 / $46.83	Facility		$46.83	$46.83	$46.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $36.06 / $46.83	Professional		$34.85	$36.06	$46.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $86.42 / $116.34	Facility		$43.21	$86.42	$116.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $46.54 / $154.13	Professional		$43.21	$46.54	$154.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $54.64 / $156.00	Facility		$44.23	$54.64	$156.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $44.23 / $57.00	Professional		$37.60	$44.23	$57.00
United Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $38.43 / $44.31	Facility		$38.43	$38.43	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $54.22 / $119.79	Professional		$34.36	$54.22	$119.79