Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $26.50	Facility		$26.50	$26.50	$26.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $27.42 / $30.13	Professional		$26.50	$27.42	$30.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $17.13 / $34.47	Facility		$10.74	$17.13	$34.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Professional		$11.34	$11.34	$11.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $39.57 / $134.09	Professional		$22.20	$39.57	$134.09
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $63.44 / $118.95	Professional		$33.18	$63.44	$118.95