Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $12.52 / $12.52	Facility		$12.52	$12.52	$12.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.03 / $15.34	Professional		$12.52	$14.03	$15.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $22.70 / $39.72	Facility		$16.17	$22.70	$39.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $16.17 / $52.62	Professional		$16.17	$16.17	$52.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $26.60 / $26.60	Facility		$26.60	$26.60	$26.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $109.99	Professional		$11.59	$11.59	$109.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $11.94 / $22.70	Professional		$10.78	$11.94	$22.70