Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.78 / $44.78 / $44.78	Facility		$44.78	$44.78	$44.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $44.78 / $49.84	Professional		$44.78	$44.78	$49.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.36 / $114.15 / $159.81	Facility		$59.36	$114.15	$159.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $63.92 / $100.81	Professional		$58.81	$63.92	$100.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $109.38	Facility		$59.87	$59.87	$109.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $59.87 / $458.43	Professional		$43.71	$59.87	$458.43
United Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $58.55 / $75.93	Professional		$45.56	$58.55	$75.93