Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $54.27 / $54.27	Facility		$54.27	$54.27	$54.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $51.95 / $63.76	Professional		$50.59	$51.95	$63.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $141.82 / $183.84	Facility		$75.95	$141.82	$183.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $81.79 / $140.21	Professional		$68.28	$81.79	$140.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $136.91	Facility		$61.48	$61.48	$136.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $518.87	Professional		$44.88	$61.48	$518.87
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $54.50 / $87.36	Professional		$41.14	$54.50	$87.36