Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $63.52 / $66.37	Professional		$50.81	$63.52	$66.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $160.59 / $224.82	Facility		$83.51	$160.59	$224.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $89.93 / $127.14	Professional		$74.17	$89.93	$127.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $136.97	Facility		$66.37	$66.37	$136.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $66.37 / $574.05	Professional		$48.45	$66.37	$574.05
United Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $64.09 / $106.82	Professional		$43.72	$64.09	$106.82