Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $30.20	Facility		$19.05	$19.05	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $41.69	Professional		$19.05	$28.84	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $39.81	Facility		$33.11	$33.11	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $147.91	Professional		$28.18	$28.18	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $45.71	Professional		$22.91	$30.90	$45.71