Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Facility		$56.40	$56.40	$56.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $53.98 / $56.40	Professional		$52.57	$53.98	$56.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $147.38 / $191.05	Facility		$73.12	$147.38	$191.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $78.73 / $134.99	Professional		$70.95	$78.73	$134.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $131.82	Facility		$66.72	$66.72	$131.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $536.51	Professional		$48.71	$66.72	$536.51
United Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $55.35 / $91.18	Professional		$41.78	$55.35	$91.18