Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $14.89 / $14.89	Facility		$14.89	$14.89	$14.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $15.19 / $20.79	Professional		$14.89	$15.19	$20.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $36.40 / $45.56	Facility		$23.17	$36.40	$45.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $33.64 / $43.60	Professional		$28.44	$33.64	$43.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $31.68	Facility		$28.58	$28.58	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $28.58 / $132.50	Professional		$20.86	$28.58	$132.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $21.30 / $42.33	Professional		$15.77	$21.30	$42.33