Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $51.79 / $51.79	Facility		$51.79	$51.79	$51.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $49.57 / $51.79	Professional		$48.28	$49.57	$51.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.12 / $135.34 / $175.44	Facility		$67.12	$135.34	$175.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $72.28 / $123.91	Professional		$65.16	$72.28	$123.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $121.01	Facility		$57.32	$57.32	$121.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $492.51	Professional		$41.84	$41.84	$492.51
United Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $103.97 / $103.97	Facility		$103.97	$103.97	$103.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $50.01 / $83.35	Professional		$38.36	$50.01	$83.35