Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $323.70 / $323.70	Facility		$323.70	$323.70	$323.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.63 / $262.73 / $323.70	Professional		$240.63	$262.73	$323.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $60.99 / $81.69	Facility		$31.71	$60.99	$81.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $34.15 / $108.22	Professional		$30.34	$34.15	$108.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $34.33 / $34.33	Professional		$34.33	$34.33	$34.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $36.14 / $64.54	Professional		$23.71	$36.14	$64.54