Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $32.45 / $32.45	Facility		$32.45	$32.45	$32.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $31.06 / $32.45	Professional		$30.25	$31.06	$32.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $84.79 / $109.92	Facility		$42.07	$84.79	$109.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $45.30 / $77.66	Professional		$40.83	$45.30	$77.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $75.84	Facility		$38.36	$38.36	$75.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $308.67	Professional		$28.00	$38.36	$308.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $31.34 / $47.20	Professional		$25.93	$31.34	$47.20