Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.45 / $21.88	Facility		$14.13	$14.45	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $85.11 / $85.11	Facility		$13.49	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $151.36	Professional		$14.45	$14.45	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.85 / $22.91	Professional		$14.45	$15.85	$22.91