Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Facility		$6.48	$6.48	$6.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.61 / $9.05	Professional		$6.17	$6.61	$9.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $15.84 / $18.64	Facility		$12.78	$15.84	$18.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $17.96 / $41,999.58	Professional		$12.38	$17.96	$41,999.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $28.37 / $28.37	Facility		$15.96	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $28.37 / $57.70	Professional		$20.71	$28.37	$57.70
United Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.61 / $18.34	Professional		$6.86	$9.61	$18.34