Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $47.35 / $47.35	Facility		$47.35	$47.35	$47.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $45.32 / $50.39	Professional		$37.51	$45.32	$50.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $123.73 / $160.38	Facility		$61.38	$123.73	$160.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $66.09 / $113.32	Professional		$59.57	$66.09	$113.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $110.66	Facility		$58.60	$58.60	$110.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $58.60 / $450.48	Professional		$42.78	$58.60	$450.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.73 / $71.73	Professional		$35.09	$45.73	$71.73