Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Facility		$4.88	$4.88	$4.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $7.18 / $11.05	Professional		$4.88	$7.18	$11.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.64 / $17.42	Facility		$11.22	$14.64	$17.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $22.63 / $22.63	Professional		$22.63	$22.63	$22.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $13.61 / $13.61	Facility		$13.61	$13.61	$13.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $55.96	Professional		$5.09	$5.09	$55.96
United Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $8.53 / $16.25	Professional		$5.67	$8.53	$16.25