Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $31.83 / $31.83	Facility		$31.83	$31.83	$31.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $35.65 / $39.00	Professional		$31.83	$35.65	$39.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $86.57 / $100.99	Facility		$65.06	$86.57	$100.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $71.33 / $133.80	Professional		$37.51	$71.33	$133.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $69.66 / $69.66	Facility		$69.66	$69.66	$69.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $283.61	Professional		$31.73	$31.73	$283.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $34.63 / $57.71	Professional		$28.79	$34.63	$57.71