Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.36 / $40.19	Professional		$37.04	$37.36	$40.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $102.91 / $133.40	Facility		$51.03	$102.91	$133.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $54.95 / $94.20	Professional		$49.55	$54.95	$94.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $91.99	Facility		$62.01	$62.01	$91.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $62.01 / $345.50	Professional		$52.71	$62.01	$345.50
United Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Facility		$46.00	$46.00	$46.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.93 / $63.66	Professional		$38.02	$50.93	$63.66