Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $37.85 / $37.85	Facility		$37.85	$37.85	$37.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $36.22 / $37.85	Professional		$35.29	$36.22	$37.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $98.91 / $128.22	Facility		$49.06	$98.91	$128.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $52.84 / $90.58	Professional		$47.63	$52.84	$90.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $88.45	Facility		$41.91	$41.91	$88.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $360.05	Professional		$30.59	$30.59	$360.05
United Facility/Professional Facility Modifier Low / Median / High Price $76.02 / $76.02 / $76.02	Facility		$76.02	$76.02	$76.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $37.15 / $63.65	Professional		$28.04	$37.15	$63.65