Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Facility		$4.38	$4.38	$4.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.38 / $4.38	Professional		$4.12	$4.38	$4.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $40.19 / $46.88	Facility		$29.47	$40.19	$46.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $27.32 / $62.13	Professional		$17.41	$27.32	$62.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $119.44	Professional		$13.56	$13.56	$119.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $16.42 / $33.97	Professional		$13.89	$16.42	$33.97