Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $52.29 / $52.29	Facility		$52.29	$52.29	$52.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $50.05 / $52.29	Professional		$46.22	$50.05	$52.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $136.63 / $177.12	Facility		$72.42	$136.63	$177.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $77.98 / $133.69	Professional		$65.79	$77.98	$133.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $130.56	Facility		$64.62	$64.62	$130.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $476.99	Professional		$47.17	$64.62	$476.99
United Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $50.50 / $84.16	Professional		$36.50	$50.50	$84.16