Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $40.99 / $173.74	Facility		$40.99	$40.99	$173.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $41.82 / $57.22	Professional		$39.03	$41.82	$57.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $101.06 / $209.13	Facility		$70.73	$101.06	$209.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $112.14 / $185.89	Professional		$78.30	$112.14	$185.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $91.13	Facility		$47.13	$47.13	$91.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $47.13 / $364.83	Professional		$34.40	$47.13	$364.83
United Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $57.85 / $116.65	Professional		$43.42	$57.85	$116.65