Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $26.92 / $26.92	Facility		$14.13	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $19.95	Professional		$12.02	$14.13	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $53.70	Facility		$15.14	$28.84	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $87.10 / $87.10	Professional		$20.42	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.13 / $18.20	Professional		$7.59	$8.13	$18.20