Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $116.67 / $116.67	Facility		$116.67	$116.67	$116.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $111.66 / $116.67	Professional		$108.76	$111.66	$116.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $304.88 / $395.22	Facility		$146.80	$304.88	$395.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $158.09 / $271.01	Professional		$146.80	$158.09	$271.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $310.16	Facility		$141.12	$141.12	$310.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $1,299.95	Professional		$103.02	$103.02	$1,299.95
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $120.72 / $187.78	Professional		$94.43	$120.72	$187.78