Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $67.68	Facility		$57.53	$57.53	$67.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $57.53 / $57.53	Professional		$56.17	$57.53	$57.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $44,999.55 / $69,999.30	Facility		$81.42	$44,999.55	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $85.95	Professional		$57.53	$57.53	$85.95
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $67.68	Professional		$56.40	$56.40	$67.68