Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $49.45 / $49.45	Facility		$49.45	$49.45	$49.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $47.33 / $49.45	Professional		$46.10	$47.33	$49.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $129.22 / $167.51	Facility		$64.09	$129.22	$167.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $69.03 / $118.33	Professional		$62.22	$69.03	$118.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $115.56	Facility		$70.48	$70.48	$115.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $70.48 / $470.38	Professional		$51.45	$70.48	$470.38
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $47.75 / $79.59	Professional		$36.63	$47.75	$79.59