Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $29.95 / $354.38	Facility		$29.95	$29.95	$354.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $19.57 / $19.57	Professional		$18.43	$19.57	$19.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $34.56 / $40.32	Facility		$27.65	$34.56	$40.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $27.65 / $31.10	Professional		$27.65	$27.65	$31.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $27.65 / $27.65	Facility		$27.65	$27.65	$27.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $37.96 / $128.53	Professional		$35.11	$37.96	$128.53
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $22.19 / $48.39	Professional		$12.67	$22.19	$48.39