Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $53.01 / $53.01	Facility		$53.01	$53.01	$53.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $50.74 / $57.52	Professional		$49.42	$50.74	$57.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.28 / $138.54 / $179.59	Facility		$69.28	$138.54	$179.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $74.61 / $127.91	Professional		$66.70	$74.61	$127.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $132.27	Facility		$66.72	$66.72	$132.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $554.40	Professional		$48.71	$66.72	$554.40
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $54.75 / $85.32	Professional		$42.54	$54.75	$85.32