Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Facility		$9.50	$9.50	$9.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $10.64 / $11.64	Professional		$9.50	$10.64	$11.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $25.83 / $30.14	Facility		$18.94	$25.83	$30.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $20.66 / $39.92	Professional		$11.19	$20.66	$39.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.18 / $20.18 / $20.18	Facility		$20.18	$20.18	$20.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $83.43	Professional		$8.78	$8.78	$83.43
United Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $9.85 / $17.22	Professional		$8.40	$9.85	$17.22