Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $59.06 / $70.88	Facility		$38.75	$59.06	$70.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $38.75 / $40.15	Professional		$35.44	$38.75	$40.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $63.79 / $77.95	Facility		$47.25	$63.79	$77.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $63.79 / $63.79	Professional		$47.25	$63.79	$63.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $116.58 / $276.58	Facility		$38.39	$116.58	$276.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $227.75 / $227.75	Professional		$227.75	$227.75	$227.75
United Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $28.35 / $28.35	Facility		$28.35	$28.35	$28.35
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $23.63 / $68.51	Professional		$19.85	$23.63	$68.51