Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $29.05 / $29.05	Facility		$29.05	$29.05	$29.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $29.05 / $38.40	Professional		$29.05	$29.05	$38.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $79.98 / $103.69	Facility		$47.40	$79.98	$103.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $53.33 / $93.38	Professional		$38.51	$53.33	$93.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $91.20	Facility		$37.03	$37.03	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $331.09	Professional		$27.03	$37.03	$331.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $41.30 / $49.27	Professional		$29.56	$41.30	$49.27