Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $14.84 / $14.84	Facility		$14.84	$14.84	$14.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $18.00 / $24.37	Professional		$11.87	$18.00	$24.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Facility		$37.20	$37.20	$37.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $35.26 / $141.90	Professional		$22.00	$35.26	$141.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $47.46 / $97.88	Professional		$10.00	$47.46	$97.88