Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $106.21 / $1,400.00	Facility		$67.48	$106.21	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $87.46 / $110.17	Professional		$67.48	$87.46	$110.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $82.26 / $89.61	Facility		$82.26	$82.26	$89.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $79.66 / $79.66	Professional		$57.95	$79.66	$79.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $118.61	Facility		$118.61	$118.61	$118.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $112.79 / $219.44	Professional		$70.36	$112.79	$219.44
United Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $111.64 / $150.38	Professional		$70.06	$111.64	$150.38