Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $30.20	Professional		$16.98	$19.95	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $23.99	Facility		$19.95	$19.95	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $114.82	Professional		$17.78	$33.88	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $47.86	Professional		$15.49	$28.84	$47.86