Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $70.29 / $70.29	Facility		$70.29	$70.29	$70.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $67.27 / $70.29	Professional		$56.35	$67.27	$70.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $175.80 / $238.12	Facility		$88.45	$175.80	$238.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $95.25 / $157.94	Professional		$88.45	$95.25	$157.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $154.25	Facility		$75.81	$75.81	$154.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $626.60	Professional		$55.35	$75.81	$626.60
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $67.88 / $113.13	Professional		$48.48	$67.88	$113.13