Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $20.50 / $37.50	Facility		$17.50	$20.50	$37.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $20.50 / $20.50	Professional		$18.75	$20.50	$20.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $33.75 / $37.50	Facility		$27.50	$33.75	$37.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $33.75	Professional		$30.00	$30.00	$33.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $30.00 / $74.98	Facility		$20.30	$30.00	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $120.50	Professional		$13.15	$13.15	$120.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $15.00 / $26.16	Professional		$8.30	$15.00	$26.16