Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Facility		$20.80	$20.80	$20.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $27.19 / $29.98	Professional		$20.80	$27.19	$29.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $50.91 / $65.98	Facility		$24.81	$50.91	$65.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $26.72 / $45.80	Professional		$24.51	$26.72	$45.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $26.66 / $48.22	Facility		$22.51	$26.66	$48.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $26.66 / $202.10	Professional		$22.51	$26.66	$202.10
United Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $21.23 / $34.93	Professional		$16.19	$21.23	$34.93