Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.09 / $72.27 / $72.27	Facility		$50.09	$72.27	$72.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $72.27 / $75.13	Professional		$71.55	$72.27	$75.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $107.33	Facility		$71.55	$71.55	$107.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $165.88	Professional		$71.55	$71.55	$165.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $88.55 / $88.55	Facility		$67.50	$88.55	$88.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $79.78	Professional		$71.55	$71.55	$79.78