Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $39.40	Facility		$39.40	$39.40	$39.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $37.71 / $39.40	Professional		$36.72	$37.71	$39.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $102.98 / $133.49	Facility		$51.07	$102.98	$133.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $55.00 / $94.28	Professional		$49.58	$55.00	$94.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $92.08	Facility		$43.62	$43.62	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $43.62 / $374.80	Professional		$31.84	$43.62	$374.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $38.04 / $63.42	Professional		$29.19	$38.04	$63.42