Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $45.55 / $45.55	Facility		$45.55	$45.55	$45.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $46.47 / $63.58	Professional		$45.55	$46.47	$63.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.36 / $112.29 / $241.94	Facility		$83.36	$112.29	$241.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $143.40 / $215.05	Professional		$86.99	$143.40	$215.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $103.14	Facility		$69.84	$69.84	$103.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $69.84 / $405.36	Professional		$50.99	$69.84	$405.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $75.75 / $129.82	Professional		$48.25	$75.75	$129.82