Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $57.54	Professional		$30.90	$41.69	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Facility		$81.28	$81.28	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $102.33	Professional		$72.44	$72.44	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $338.84	Professional		$43.65	$43.65	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $75.86	Professional		$38.02	$44.67	$75.86