Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Facility		$13.42	$13.42	$13.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $13.42 / $16.67	Professional		$12.77	$13.42	$16.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $34.74 / $47.92	Facility		$17.80	$34.74	$47.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.17 / $30.88	Professional		$17.80	$19.17	$30.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $32.97	Facility		$16.30	$16.30	$32.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $16.30 / $138.24	Professional		$11.91	$16.30	$138.24
United Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $17.93 / $22.76	Professional		$13.66	$17.93	$22.76