Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $104.70 / $125.64	Facility		$68.68	$104.70	$125.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $68.68 / $68.68	Professional		$62.82	$68.68	$68.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.08 / $471.15 / $2,261.52	Facility		$113.08	$471.15	$2,261.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $113.08 / $119,998.80	Professional		$100.51	$113.08	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $100.51 / $251.24	Facility		$68.05	$100.51	$251.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $120.29 / $403.72	Professional		$96.23	$120.29	$403.72
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $37.69 / $113.08	Professional		$35.18	$37.69	$113.08