Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $23.11	Facility		$23.11	$23.11	$23.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.52 / $28.31	Professional		$12.88	$25.52	$28.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $56.55 / $73.31	Facility		$25.17	$56.55	$73.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $50.27 / $97.13	Professional		$27.23	$50.27	$97.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $49.09	Facility		$49.09	$49.09	$49.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $201.91	Professional		$17.09	$17.09	$201.91
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $22.64 / $43.78	Professional		$19.64	$22.64	$43.78