Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $39.35	Facility		$39.35	$39.35	$39.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $37.65 / $39.35	Professional		$33.86	$37.65	$39.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $95.19 / $133.26	Facility		$49.50	$95.19	$133.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $53.31 / $82.08	Professional		$47.88	$53.31	$82.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $86.94	Facility		$36.72	$36.72	$86.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $364.39	Professional		$26.81	$36.72	$364.39
United Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $37.99 / $63.32	Professional		$28.20	$37.99	$63.32