Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.64 / $97.64 / $97.64	Facility		$97.64	$97.64	$97.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $103.99 / $113.99	Professional		$97.64	$103.99	$113.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $77.42 / $127.04	Facility		$39.18	$77.42	$127.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $37.94 / $37.94	Professional		$37.94	$37.94	$37.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $120.42 / $1,209.18	Facility		$120.42	$120.42	$1,209.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $141.15 / $503.59	Professional		$86.16	$141.15	$503.59
United Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $130.32 / $280.81	Professional		$69.04	$130.32	$280.81