Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $125.32 / $130.94	Professional		$122.07	$125.32	$130.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.72 / $342.17 / $443.56	Facility		$169.72	$342.17	$443.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $182.77 / $313.32	Professional		$164.75	$182.77	$313.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $305.98	Facility		$168.00	$168.00	$305.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $1,245.49	Professional		$122.64	$122.64	$1,245.49
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $130.63 / $210.75	Professional		$97.01	$130.63	$210.75