Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $77.62 / $77.62	Facility		$12.02	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.85	Professional		$12.02	$12.02	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $85.11 / $85.11	Facility		$12.02	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $54.95	Professional		$12.88	$12.88	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $125.89	Professional		$12.88	$18.62	$125.89