Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $61.90 / $61.90	Facility		$55.64	$61.90	$61.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $61.90	Professional		$55.65	$55.65	$61.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $55.65 / $83.48	Facility		$55.09	$55.65	$83.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $71.09 / $129.03	Professional		$55.65	$71.09	$129.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $85.00 / $85.00	Facility		$52.50	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $57.75	Professional		$55.65	$55.65	$57.75
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $61.22 / $70.77	Professional		$55.65	$61.22	$70.77