Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $63.13 / $75.75	Facility		$41.41	$63.13	$75.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $40.90 / $41.41	Professional		$37.88	$40.90	$41.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $68.18 / $75.75	Facility		$55.55	$68.18	$75.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $60.60 / $68.18	Professional		$60.60	$60.60	$68.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $60.60 / $151.51	Facility		$41.04	$60.60	$151.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $72.28 / $325.02	Professional		$26.20	$72.28	$325.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $29.64 / $70.56	Professional		$22.73	$29.64	$70.56