Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $69.18 / $69.18	Facility		$21.88	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $30.90	Professional		$18.62	$22.91	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.90 / $33.88	Facility		$28.18	$30.90	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $42.66	Professional		$30.90	$30.90	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $151.36 / $151.36	Professional		$28.84	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $41.69	Professional		$18.62	$28.18	$41.69