Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $19.95	Professional		$12.02	$12.88	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $50.12	Facility		$24.55	$24.55	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.30 / $44.67	Professional		$16.22	$26.30	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $51.29 / $51.29	Facility		$22.39	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $141.25	Professional		$16.22	$16.22	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $41.69	Facility		$14.13	$14.13	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $24.55	Professional		$14.13	$16.60	$24.55