Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.95 / $35.95 / $35.95	Facility		$35.95	$35.95	$35.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $35.95 / $41.43	Professional		$35.95	$35.95	$41.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $98.98 / $128.31	Facility		$47.66	$98.98	$128.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $51.32 / $87.98	Professional		$47.66	$51.32	$87.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $96.46	Facility		$45.81	$45.81	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $404.30	Professional		$33.44	$45.81	$404.30
United Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $52.47 / $60.96	Professional		$36.58	$52.47	$60.96