Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $251.19	Professional		$120.23	$144.54	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $177.83	Facility		$74.13	$89.13	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $6,165.95	Facility		$229.09	$229.09	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $309.03 / $2,398.83	Professional		$112.20	$309.03	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $275.42 / $741.31	Professional		$131.83	$275.42	$741.31