Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $69.17 / $69.17	Facility		$47.94	$69.17	$69.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $69.17 / $71.91	Professional		$68.48	$69.17	$71.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $102.74	Facility		$68.48	$68.48	$102.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $158.80	Professional		$68.48	$68.48	$158.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $85.00 / $85.00	Facility		$64.61	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
United Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $68.48 / $71.91	Professional		$62.66	$68.48	$71.91