Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $84.24 / $84.24	Facility		$84.24	$84.24	$84.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $84.24 / $171.49	Professional		$60.53	$84.24	$171.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.79 / $170.03 / $233.66	Facility		$86.79	$170.03	$233.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $93.46 / $309.57	Professional		$86.79	$93.46	$309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $155.57	Facility		$52.17	$52.17	$155.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $52.17 / $598.16	Professional		$38.08	$52.17	$598.16
United Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $103.82 / $171.49	Professional		$94.18	$103.82	$171.49