Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $11.39	Facility		$11.39	$11.39	$11.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $11.62 / $15.89	Professional		$10.84	$11.62	$15.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $27.83 / $84.38	Facility		$20.84	$27.83	$84.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $90.56 / $155.24	Professional		$21.74	$90.56	$155.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $28.09 / $28.09	Facility		$24.24	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.09 / $101.36	Professional		$20.51	$28.09	$101.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $17.23 / $32.46	Professional		$12.06	$17.23	$32.46