Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $54.95	Facility		$28.84	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $42.66	Professional		$23.99	$28.84	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $58.88 / $109.65	Facility		$30.20	$58.88	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $288.40 / $288.40	Professional		$32.36	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $47.86	Professional		$15.49	$33.11	$47.86