Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $17.18 / $20.61	Facility		$11.27	$17.18	$20.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $11.13 / $11.27	Professional		$10.31	$11.13	$11.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $77.29 / $370.98	Facility		$18.55	$77.29	$370.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $18.55 / $119,998.80	Professional		$16.48	$18.55	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $16.48 / $41.21	Facility		$11.16	$16.48	$41.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $19.62 / $66.23	Professional		$15.69	$19.62	$66.23
United Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Facility		$5.77	$5.77	$5.77
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $7.64 / $22.14	Professional		$6.18	$7.64	$22.14