Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $44.80 / $44.80	Facility		$44.80	$44.80	$44.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $42.88 / $47.73	Professional		$41.76	$42.88	$47.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $117.07 / $151.76	Facility		$58.08	$117.07	$151.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $62.55 / $107.22	Professional		$56.37	$62.55	$107.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $104.71	Facility		$56.02	$56.02	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $426.18	Professional		$40.89	$40.89	$426.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $44.70 / $72.45	Professional		$39.25	$44.70	$72.45