Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $58.41 / $58.41	Facility		$58.41	$58.41	$58.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $55.90 / $58.41	Professional		$45.59	$55.90	$58.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $141.33 / $197.86	Facility		$73.48	$141.33	$197.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $79.14 / $119.48	Professional		$69.70	$79.14	$119.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $122.12	Facility		$71.68	$71.68	$122.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.68 / $511.84	Professional		$52.33	$71.68	$511.84
United Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $106.31 / $106.31	Facility		$106.31	$106.31	$106.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $56.41 / $94.01	Professional		$39.22	$56.41	$94.01