Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $63.04 / $63.04	Facility		$41.87	$63.04	$63.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $63.04 / $65.53	Professional		$62.41	$63.04	$65.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $93.62	Facility		$62.41	$62.41	$93.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $144.69	Professional		$62.41	$62.41	$144.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.11 / $89.11	Facility		$58.88	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Professional		$62.41	$62.41	$62.41
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $92.70	Professional		$62.41	$62.41	$92.70