Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $91.07 / $91.07	Facility		$91.07	$91.07	$91.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $87.16 / $114.23	Professional		$84.89	$87.16	$114.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.38 / $237.96 / $308.47	Facility		$122.38	$237.96	$308.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $131.80 / $225.94	Professional		$114.58	$131.80	$225.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $226.96	Facility		$110.15	$110.15	$226.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $110.15 / $951.28	Professional		$80.41	$110.15	$951.28
United Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $97.63 / $146.56	Professional		$79.84	$97.63	$146.56