Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $49.65 / $49.65	Facility		$49.65	$49.65	$49.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $49.65 / $53.40	Professional		$49.21	$49.65	$53.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $136.69 / $177.19	Facility		$75.98	$136.69	$177.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $81.83 / $140.28	Professional		$65.81	$81.83	$140.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $136.99	Facility		$66.22	$66.22	$136.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $568.04	Professional		$48.34	$66.22	$568.04
United Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $70.56 / $84.56	Professional		$50.51	$70.56	$84.56