Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $37.04 / $40.76	Facility		$37.04	$37.04	$40.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $38.50	Professional		$36.67	$36.67	$38.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $40.34 / $55.01	Facility		$36.67	$40.34	$55.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $85.02	Professional		$36.67	$36.67	$85.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $85.00 / $85.00	Facility		$34.59	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $38.04	Professional		$36.67	$36.67	$38.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $40.70 / $142.82	Professional		$36.67	$40.70	$142.82