Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.51 / $105.33 / $119.42	Facility		$99.51	$105.33	$119.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $119.42 / $139.32	Facility		$87.57	$119.42	$139.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $95.53 / $107.47	Professional		$95.53	$95.53	$107.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Facility		$105.33	$105.33	$105.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $114.35 / $383.72	Professional		$91.48	$114.35	$383.72
United Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $44.24 / $127.38	Professional		$37.93	$44.24	$127.38