Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Facility		$14.88	$14.88	$14.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $21.88 / $33.69	Professional		$14.88	$21.88	$33.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.40 / $53.10	Facility		$38.90	$45.40	$53.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $41.48 / $41.48	Facility		$41.48	$41.48	$41.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $170.63	Professional		$29.14	$29.14	$170.63
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $27.89 / $49.56	Professional		$17.66	$27.89	$49.56