Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $12.97 / $12.97	Facility		$12.97	$12.97	$12.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $14.53 / $15.88	Professional		$12.97	$14.53	$15.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $35.25 / $41.13	Facility		$25.85	$35.25	$41.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $28.20 / $54.49	Professional		$15.28	$28.20	$54.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $113.90	Professional		$12.00	$12.00	$113.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.77 / $23.50	Professional		$11.48	$11.77	$23.50