Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $39.39 / $39.39	Facility		$39.39	$39.39	$39.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $37.70 / $49.41	Professional		$36.72	$37.70	$49.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $102.94 / $133.44	Facility		$52.63	$102.94	$133.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $56.68 / $97.16	Professional		$49.56	$56.68	$97.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $97.14	Facility		$54.11	$54.11	$97.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.11 / $407.15	Professional		$39.50	$54.11	$407.15
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $41.03 / $63.40	Professional		$31.88	$41.03	$63.40