Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $24.01 / $30.84	Facility		$24.01	$24.01	$30.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $28.70 / $32.08	Professional		$21.89	$28.70	$32.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $34.83 / $40.64	Facility		$25.44	$34.83	$40.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $26.99 / $26.99	Professional		$26.99	$26.99	$26.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $38.94 / $116.06	Professional		$23.39	$38.94	$116.06
United Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $31.46 / $53.92	Professional		$24.13	$31.46	$53.92