Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.93 / $24.93 / $24.93	Facility		$24.93	$24.93	$24.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $27.18 / $30.57	Professional		$24.93	$27.18	$30.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $61.10 / $79.20	Facility		$29.42	$61.10	$79.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $31.68 / $54.31	Professional		$29.42	$31.68	$54.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $53.10	Facility		$29.14	$29.14	$53.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $29.14 / $218.15	Professional		$21.27	$29.14	$218.15
United Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $30.99 / $30.99	Facility		$26.10	$30.99	$30.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $22.83 / $34.32	Professional		$14.87	$22.83	$34.32