Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $16.02 / $20.52	Professional		$13.05	$16.02	$20.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $38.77 / $52.19	Facility		$19.38	$38.77	$52.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $20.87 / $69.14	Professional		$19.38	$20.87	$69.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $39.31	Facility		$18.96	$18.96	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $118.48	Professional		$16.12	$16.12	$118.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $16.80 / $24.75	Professional		$12.64	$16.80	$24.75