Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.39 / $112.39 / $112.39	Facility		$112.39	$112.39	$112.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $133.80 / $184.14	Professional		$111.65	$133.80	$184.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $29.08 / $48.79	Facility		$21.54	$29.08	$48.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $26.93 / $48.79	Professional		$21.56	$26.93	$48.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $147.10 / $147.10	Facility		$28.95	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $17.23 / $70.20	Professional		$7.86	$17.23	$70.20