Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $67.19 / $67.19	Facility		$67.19	$67.19	$67.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $64.30 / $73.84	Professional		$59.60	$64.30	$73.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.54 / $162.58 / $227.61	Facility		$84.54	$162.58	$227.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $91.04 / $144.50	Professional		$84.29	$91.04	$144.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $145.91	Facility		$84.33	$84.33	$145.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $84.33 / $611.61	Professional		$61.56	$84.33	$611.61
United Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $64.88 / $108.13	Professional		$47.65	$64.88	$108.13