Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $28.33 / $28.33	Facility		$28.33	$28.33	$28.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.33 / $35.17	Professional		$28.21	$28.33	$35.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $77.98 / $101.10	Facility		$37.54	$77.98	$101.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $40.44 / $69.31	Professional		$37.54	$40.44	$69.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $75.04	Facility		$37.36	$37.36	$75.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $314.51	Professional		$27.27	$37.36	$314.51
United Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $40.26 / $48.03	Professional		$28.82	$40.26	$48.03