Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $96.03 / $96.03	Facility		$96.03	$96.03	$96.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $91.90 / $96.03	Professional		$73.33	$91.90	$96.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.82 / $232.35 / $325.29	Facility		$120.82	$232.35	$325.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $130.12 / $171.65	Professional		$100.13	$130.12	$171.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $186.10	Facility		$89.11	$89.11	$186.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $780.02	Professional		$65.05	$89.11	$780.02
United Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $92.73 / $155.25	Professional		$69.45	$92.73	$155.25