Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $52.90 / $56.34	Professional		$46.64	$52.90	$56.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $133.75 / $187.25	Facility		$69.55	$133.75	$187.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $74.90 / $113.08	Professional		$65.95	$74.90	$113.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $121.51	Facility		$81.37	$81.37	$121.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $81.37 / $509.28	Professional		$59.40	$81.37	$509.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $53.38 / $88.96	Professional		$39.40	$53.38	$88.96