Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $42.31 / $42.31	Facility		$42.31	$42.31	$42.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $42.31 / $45.50	Professional		$40.24	$42.31	$45.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $116.48 / $150.99	Facility		$58.40	$116.48	$150.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $62.89 / $107.81	Professional		$56.08	$62.89	$107.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $105.28	Facility		$48.73	$48.73	$105.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $406.52	Professional		$35.57	$48.73	$406.52
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $54.34 / $71.73	Professional		$43.04	$54.34	$71.73