Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.13 / $112.13 / $482.16	Facility		$112.13	$112.13	$482.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $101.93 / $112.67	Professional		$95.03	$101.93	$112.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.16 / $266.37 / $345.29	Facility		$132.16	$266.37	$345.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $142.34 / $244.01	Professional		$128.25	$142.34	$244.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $238.28	Facility		$112.67	$112.67	$238.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $967.52	Professional		$82.25	$112.67	$967.52
United Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $98.44 / $164.07	Professional		$75.40	$98.44	$164.07