Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $101.49 / $103.96	Facility		$101.49	$101.49	$103.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $102.94 / $103.96	Professional		$102.50	$102.94	$103.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $154.41 / $154.41	Facility		$102.94	$154.41	$154.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $102.94 / $154.28	Facility		$97.11	$102.94	$154.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $224.79	Professional		$102.94	$102.94	$224.79
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $192.00	Professional		$102.94	$102.94	$192.00