Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $50.42 / $50.42	Facility		$50.42	$50.42	$50.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $48.25 / $50.42	Professional		$46.20	$48.25	$50.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $131.72 / $170.77	Facility		$70.54	$131.72	$170.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $75.95 / $130.22	Professional		$63.43	$75.95	$130.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $127.18	Facility		$61.62	$61.62	$127.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.62 / $447.49	Professional		$44.98	$61.62	$447.49
United Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $48.68 / $81.14	Professional		$34.03	$48.68	$81.14