Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $21.73 / $21.73	Facility		$21.73	$21.73	$21.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $24.14 / $26.62	Professional		$21.73	$24.14	$26.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $53.16 / $68.92	Facility		$25.60	$53.16	$68.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $27.57 / $47.26	Professional		$25.60	$27.57	$47.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $46.15	Facility		$26.07	$26.07	$46.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $190.49	Professional		$16.07	$22.16	$190.49
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $19.73 / $32.75	Professional		$14.38	$19.73	$32.75