Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $58.43 / $58.43	Facility		$58.43	$58.43	$58.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $55.92 / $62.14	Professional		$54.47	$55.92	$62.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $152.69 / $197.94	Facility		$75.70	$152.69	$197.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $81.52 / $139.75	Professional		$73.52	$81.52	$139.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $136.47	Facility		$64.66	$64.66	$136.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $85.73 / $102.90	Professional		$47.20	$85.73	$102.90
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $56.42 / $94.04	Professional		$43.26	$56.42	$94.04