Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $57.85 / $57.85	Facility		$57.85	$57.85	$57.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $55.36 / $66.89	Professional		$51.11	$55.36	$66.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.78 / $151.44 / $201.55	Facility		$72.78	$151.44	$201.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $78.38 / $123.91	Professional		$72.28	$78.38	$123.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $136.30	Facility		$64.52	$64.52	$136.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $571.27	Professional		$47.10	$64.52	$571.27
United Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $55.86 / $87.65	Professional		$43.18	$55.86	$87.65