Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $29.95 / $29.95	Facility		$29.95	$29.95	$29.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $31.78 / $34.60	Professional		$29.95	$31.78	$34.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $24.72 / $38.45	Facility		$10.57	$24.72	$38.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $10.24 / $10.24	Professional		$10.24	$10.24	$10.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $181.60	Facility		$36.90	$36.90	$181.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $41.46 / $152.79	Professional		$26.23	$41.46	$152.79
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $36.65 / $68.65	Professional		$20.26	$36.65	$68.65