Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $66.17 / $66.17	Facility		$66.17	$66.17	$66.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $49.93 / $66.17	Professional		$42.72	$49.93	$66.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.73 / $117.46 / $158.11	Facility		$58.73	$117.46	$158.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $63.25 / $209.47	Professional		$58.73	$63.25	$209.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $105.26	Facility		$65.00	$65.00	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $72.28	Professional		$55.25	$55.25	$72.28
United Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $64.78 / $93.88	Professional		$46.27	$64.78	$93.88