Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Facility		$10.74	$10.74	$10.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $12.31 / $13.16	Professional		$10.74	$12.31	$13.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $29.21 / $34.07	Facility		$21.42	$29.21	$34.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $24.11 / $45.14	Professional		$12.66	$24.11	$45.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $23.54 / $23.54	Facility		$23.54	$23.54	$23.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $96.69	Professional		$10.26	$10.26	$96.69
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $10.86 / $19.50	Professional		$9.63	$10.86	$19.50