Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $79.06 / $79.06	Facility		$79.06	$79.06	$79.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $75.67 / $79.06	Professional		$62.64	$75.67	$79.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.48 / $191.31 / $267.83	Facility		$99.48	$191.31	$267.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $107.14 / $137.86	Professional		$80.42	$107.14	$137.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $91.88 / $152.03	Facility		$91.88	$91.88	$152.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $637.20	Professional		$67.06	$67.06	$637.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $76.36 / $127.81	Professional		$56.80	$76.36	$127.81