Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Facility		$3.54	$3.54	$3.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.54 / $3.54	Professional		$3.33	$3.54	$3.54
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 $6.78 / $6.78 / $119.44	Professional		$6.78	$6.78	$119.44
United Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $16.42 / $29.33	Professional		$11.96	$16.42	$29.33