Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $26.05 / $26.05	Facility		$26.05	$26.05	$26.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $23.78 / $30.90	Professional		$22.40	$23.78	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $21.41 / $39.97	Facility		$18.84	$21.41	$39.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Professional		$26.71	$26.71	$26.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $250.00	Facility		$38.15	$38.15	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $24.69 / $109.12	Professional		$19.98	$24.69	$109.12
United Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $30.85 / $44.32	Professional		$18.68	$30.85	$44.32