Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $46.93 / $46.93	Facility		$46.93	$46.93	$46.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $46.13 / $49.98	Professional		$43.75	$46.13	$49.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.83 / $122.65 / $158.99	Facility		$60.83	$122.65	$158.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $65.51 / $112.30	Professional		$59.05	$65.51	$112.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $64.81 / $109.67	Facility		$56.56	$64.81	$109.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.56 / $445.42	Professional		$41.29	$56.56	$445.42
United Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $46.73 / $75.89	Professional		$41.04	$46.73	$75.89