Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $28.18	Professional		$15.14	$19.95	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $29.51	Facility		$14.13	$23.99	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $36.31	Professional		$20.89	$23.44	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $109.65	Facility		$26.92	$38.90	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $338.84	Professional		$18.62	$32.36	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $41.69	Professional		$13.49	$22.39	$41.69