Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $122.14 / $122.14	Facility		$122.14	$122.14	$122.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $116.90 / $122.14	Professional		$113.86	$116.90	$122.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.34 / $319.17 / $413.74	Facility		$158.34	$319.17	$413.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $170.52 / $292.32	Professional		$153.66	$170.52	$292.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $285.47	Facility		$135.22	$135.22	$285.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $179.29 / $215.21	Professional		$98.72	$179.29	$215.21
United Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $117.95 / $196.58	Professional		$90.49	$117.95	$196.58