Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $71.40 / $71.40	Facility		$49.73	$71.40	$71.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $71.40 / $74.23	Professional		$70.70	$71.40	$74.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $106.05	Facility		$70.70	$70.70	$106.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $163.92	Professional		$70.70	$70.70	$163.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $255.00 / $255.00	Facility		$66.69	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
United Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $70.70 / $303.64	Professional		$68.58	$70.70	$303.64