Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.44 / $52.44 / $52.44	Facility		$52.44	$52.44	$52.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $50.19 / $55.55	Professional		$47.28	$50.19	$55.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $128.97 / $177.63	Facility		$65.98	$128.97	$177.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $71.05 / $114.65	Professional		$65.98	$71.05	$114.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $125.35	Facility		$61.81	$61.81	$125.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $525.38	Professional		$45.12	$61.81	$525.38
United Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $53.40 / $84.79	Professional		$47.24	$53.40	$84.79