Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $15.24	Facility		$15.24	$15.24	$15.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $22.42 / $34.52	Professional		$15.24	$22.42	$34.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $45.34 / $54.41	Facility		$34.63	$45.34	$54.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $69.81 / $69.81	Professional		$69.81	$69.81	$69.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $42.50 / $42.50	Facility		$42.50	$42.50	$42.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $174.82	Professional		$21.60	$21.60	$174.82
United Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $28.63 / $50.78	Professional		$18.19	$28.63	$50.78