Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $190.55	Professional		$23.99	$33.11	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $81.28	Facility		$57.54	$57.54	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $72.44	Professional		$51.29	$51.29	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $239.88	Professional		$30.90	$30.90	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $53.70	Professional		$27.54	$31.62	$53.70