Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $66.54 / $66.54	Facility		$46.45	$66.54	$66.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $66.54 / $69.18	Professional		$65.88	$66.54	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $98.82	Facility		$65.88	$65.88	$98.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $152.74	Professional		$65.88	$65.88	$152.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $153.00 / $153.00	Facility		$62.15	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $179.98	Professional		$65.88	$65.88	$179.98