Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Facility		$29.28	$29.28	$29.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $29.28 / $31.49	Professional		$28.11	$29.28	$31.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $80.62 / $104.51	Facility		$39.72	$80.62	$104.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $42.78 / $73.34	Professional		$38.82	$42.78	$73.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $75.23	Facility		$35.97	$35.97	$75.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $315.32	Professional		$26.26	$35.97	$315.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $40.11 / $49.65	Professional		$29.79	$40.11	$49.65