Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.86 / $68.86 / $68.86	Facility		$68.86	$68.86	$68.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $65.12 / $68.86	Professional		$50.19	$65.12	$68.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $166.61 / $233.26	Facility		$86.64	$166.61	$233.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $93.30 / $123.91	Professional		$72.28	$93.30	$123.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $132.66	Facility		$75.47	$75.47	$132.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $75.47 / $556.04	Professional		$55.09	$75.47	$556.04
United Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $66.50 / $110.84	Professional		$44.34	$66.50	$110.84