Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $71.66 / $71.66	Facility		$71.66	$71.66	$71.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $68.56 / $71.66	Professional		$66.80	$68.56	$71.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.16 / $187.25 / $242.73	Facility		$90.16	$187.25	$242.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $97.09 / $166.44	Professional		$90.16	$97.09	$166.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $180.62	Facility		$86.66	$86.66	$180.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $757.03	Professional		$63.26	$86.66	$757.03
United Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $74.14 / $115.32	Professional		$58.00	$74.14	$115.32