Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Facility		$34.72	$34.72	$34.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $34.72 / $37.34	Professional		$29.90	$34.72	$37.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $95.59 / $123.92	Facility		$50.74	$95.59	$123.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $54.64 / $93.67	Professional		$46.03	$54.64	$93.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $91.48	Facility		$37.25	$37.25	$91.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $37.25 / $313.49	Professional		$27.19	$37.25	$313.49
United Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $40.79 / $55.43	Professional		$34.59	$40.79	$55.43