Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $50.95 / $55.50	Facility		$50.45	$50.95	$55.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $57.42	Professional		$52.49	$52.49	$57.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $57.74 / $78.73	Facility		$52.49	$57.74	$78.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $121.69	Professional		$52.49	$52.49	$121.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $52.96 / $52.96	Facility		$49.52	$52.96	$52.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $54.47	Professional		$52.49	$52.49	$54.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $57.74 / $64.17	Professional		$52.49	$57.74	$64.17