Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Facility		$14.05	$14.05	$14.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $15.30	Professional		$14.05	$14.05	$15.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $24.30 / $130.81	Facility		$19.44	$24.30	$130.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $140.87 / $41,999.58	Professional		$140.87	$140.87	$41,999.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.75 / $18.43	Professional		$7.85	$10.75	$18.43