Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $90.93 / $90.93	Facility		$90.93	$90.93	$90.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $85.96 / $104.79	Professional		$68.37	$85.96	$104.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $83.75 / $150.33	Facility		$70.87	$83.75	$150.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $99.83 / $99.83	Professional		$99.83	$99.83	$99.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $108.75 / $397.37	Professional		$70.72	$108.75	$397.37
United Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $104.59 / $161.22	Professional		$75.20	$104.59	$161.22