Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $7.01 / $7.01	Facility		$7.01	$7.01	$7.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $7.15 / $12.92	Professional		$7.01	$7.15	$12.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $17.14 / $21.94	Facility		$14.40	$17.14	$21.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $23.63 / $41,999.58	Professional		$13.38	$23.63	$41,999.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $28.65 / $28.65	Facility		$16.36	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $28.65 / $62.37	Professional		$20.91	$28.65	$62.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $9.77 / $19.76	Professional		$7.42	$9.77	$19.76