Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $43.61 / $59.67	Professional		$42.74	$43.61	$59.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $102.05 / $174.96	Facility		$63.61	$102.05	$174.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $63.67 / $109.16	Professional		$63.67	$63.67	$109.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $90.97	Facility		$37.95	$37.95	$90.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $37.95 / $380.44	Professional		$27.70	$37.95	$380.44
United Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $64.29 / $121.36	Professional		$45.28	$64.29	$121.36