Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $68.40 / $68.40	Facility		$68.40	$68.40	$68.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $65.47 / $68.40	Professional		$49.27	$65.47	$68.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $165.51 / $231.72	Facility		$86.07	$165.51	$231.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $92.69 / $137.82	Professional		$80.40	$92.69	$137.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $134.59	Facility		$87.42	$87.42	$134.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $87.42 / $556.28	Professional		$63.82	$87.42	$556.28
United Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $66.05 / $110.09	Professional		$42.38	$66.05	$110.09