Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $40.67 / $40.67	Facility		$40.67	$40.67	$40.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $45.19 / $49.83	Professional		$39.36	$45.19	$49.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $99.54 / $129.03	Facility		$44.31	$99.54	$129.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $88.48 / $170.94	Professional		$47.92	$88.48	$170.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $355.38	Professional		$30.08	$30.08	$355.38
United Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $44.24 / $77.04	Professional		$35.46	$44.24	$77.04