Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $39.06	Facility		$39.06	$39.06	$39.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $37.39 / $40.54	Professional		$36.42	$37.39	$40.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $113.42 / $136.10	Facility		$59.87	$113.42	$136.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $64.48 / $110.53	Professional		$49.15	$64.48	$110.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $107.94	Facility		$65.20	$65.20	$107.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $406.76	Professional		$47.60	$65.20	$406.76
United Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $37.72 / $62.87	Professional		$31.61	$37.72	$62.87