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 / $58.43	Professional		$54.47	$55.92	$58.43
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 $70.70 / $70.70 / $136.47	Facility		$70.70	$70.70	$136.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $555.54	Professional		$51.62	$70.70	$555.54
United Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $60.74 / $94.04	Professional		$48.59	$60.74	$94.04