Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $20.00 / $24.00	Facility		$13.12	$20.00	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.96 / $13.12	Professional		$12.00	$12.96	$13.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $90.00 / $432.00	Facility		$21.60	$90.00	$432.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $21.60 / $119,998.80	Professional		$19.20	$21.60	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $19.20 / $48.00	Facility		$13.00	$19.20	$48.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $22.72 / $77.12	Professional		$18.17	$22.72	$77.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.20 / $21.60	Professional		$6.72	$7.20	$21.60