Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Facility		$35.15	$35.15	$35.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $41.31	Professional		$35.15	$35.15	$41.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $96.75 / $125.42	Facility		$51.03	$96.75	$125.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $54.95 / $94.20	Professional		$46.59	$54.95	$94.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $91.99	Facility		$48.15	$48.15	$91.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $48.15 / $356.73	Professional		$35.15	$48.15	$356.73
United Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $44.71 / $59.59	Professional		$35.75	$44.71	$59.59