Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Facility		$4.54	$4.54	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.26 / $149.21 / $214.09	Facility		$140.26	$149.21	$214.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $151.05 / $258.94	Professional		$151.05	$151.05	$258.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $50.00	Facility		$9.27	$9.27	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.27 / $13.30	Professional		$6.77	$9.27	$13.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.39 / $13.64	Professional		$5.03	$7.39	$13.64