Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $26.63 / $26.63	Facility		$26.63	$26.63	$26.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $27.17 / $37.17	Professional		$26.63	$27.17	$37.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $59.08 / $76.58	Facility		$54.70	$59.08	$76.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $63.39 / $41,999.58	Professional		$50.86	$63.39	$41,999.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $56.67	Facility		$49.68	$49.68	$56.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $49.68 / $237.00	Professional		$36.27	$49.68	$237.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $40.15 / $75.73	Professional		$28.21	$40.15	$75.73