Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $39.76 / $39.76	Facility		$39.76	$39.76	$39.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $38.04 / $49.39	Professional		$37.06	$38.04	$49.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $102.88 / $134.66	Facility		$50.02	$102.88	$134.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $53.87 / $91.45	Professional		$50.02	$53.87	$91.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $102.27	Facility		$54.54	$54.54	$102.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $428.64	Professional		$39.81	$54.54	$428.64
United Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $41.14 / $63.99	Professional		$31.87	$41.14	$63.99