Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $30.88 / $30.88	Facility		$30.88	$30.88	$30.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $30.88 / $33.22	Professional		$29.38	$30.88	$33.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $78.73 / $110.23	Facility		$40.94	$78.73	$110.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $44.09 / $66.31	Professional		$38.69	$44.09	$66.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $68.79	Facility		$34.54	$34.54	$68.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.54 / $288.33	Professional		$25.21	$34.54	$288.33
United Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $38.53 / $52.37	Professional		$31.13	$38.53	$52.37