Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $38.72 / $38.72	Facility		$38.72	$38.72	$38.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $37.06 / $40.81	Professional		$32.79	$37.06	$40.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $93.68 / $131.15	Facility		$48.71	$93.68	$131.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $52.46 / $79.50	Professional		$46.38	$52.46	$79.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $89.06	Facility		$55.83	$55.83	$89.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $373.26	Professional		$40.76	$40.76	$373.26
United Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $37.39 / $62.32	Professional		$27.70	$37.39	$62.32