Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.39 / $59.39 / $59.39	Facility		$59.39	$59.39	$59.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $60.59 / $82.90	Professional		$56.54	$60.59	$82.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.70 / $145.18 / $661.57	Facility		$108.70	$145.18	$661.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.42 / $291.35 / $499.46	Professional		$113.42	$291.35	$499.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $169.95	Facility		$139.08	$139.08	$169.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $528.51	Professional		$101.53	$101.53	$528.51
United Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $84.97 / $168.86	Professional		$62.91	$84.97	$168.86