Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $14.01 / $14.01	Facility		$14.01	$14.01	$14.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.30 / $19.55	Professional		$14.01	$14.30	$19.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $29.36 / $40.29	Facility		$21.81	$29.36	$40.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $27.17 / $43.60	Professional		$25.66	$27.17	$43.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $32.88	Facility		$27.60	$27.60	$32.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $27.60 / $124.74	Professional		$20.14	$27.60	$124.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $20.05 / $39.51	Professional		$14.84	$20.05	$39.51