Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.48 / $54.48 / $54.48	Facility		$54.48	$54.48	$54.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.48 / $58.60	Professional		$54.00	$54.48	$58.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.39 / $149.97 / $194.41	Facility		$74.39	$149.97	$194.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $80.12 / $137.34	Professional		$72.20	$80.12	$137.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $134.12	Facility		$90.38	$90.38	$134.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $547.94	Professional		$76.81	$90.38	$547.94
United Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $70.88 / $92.38	Professional		$55.43	$70.88	$92.38