Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.96 / $52.96 / $52.96	Facility		$52.96	$52.96	$52.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $50.69 / $52.96	Professional		$49.37	$50.69	$52.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $138.40 / $179.41	Facility		$68.66	$138.40	$179.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $73.94 / $126.76	Professional		$66.64	$73.94	$126.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $123.78	Facility		$67.95	$67.95	$123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $67.95 / $503.79	Professional		$49.61	$67.95	$503.79
United Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $51.97 / $85.24	Professional		$39.24	$51.97	$85.24