Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $49.72	Facility		$49.72	$49.72	$49.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $49.72 / $62.44	Professional		$49.72	$49.72	$62.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $130.07 / $177.45	Facility		$65.91	$130.07	$177.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $70.98 / $115.62	Professional		$65.91	$70.98	$115.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $125.34	Facility		$60.21	$60.21	$125.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $525.33	Professional		$43.95	$60.21	$525.33
United Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $60.84 / $76.20	Professional		$49.53	$60.84	$76.20