Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $53.01 / $53.01	Facility		$53.01	$53.01	$53.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $53.01 / $57.02	Professional		$52.55	$53.01	$57.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $145.94 / $189.19	Facility		$72.42	$145.94	$189.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $77.98 / $133.69	Professional		$70.27	$77.98	$133.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $130.56	Facility		$87.96	$87.96	$130.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $87.96 / $490.10	Professional		$74.77	$87.96	$490.10
United Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $68.97 / $89.89	Professional		$53.93	$68.97	$89.89