Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $69.61 / $69.61	Facility		$69.61	$69.61	$69.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $69.61 / $76.11	Professional		$69.61	$69.61	$76.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.27 / $177.45 / $248.43	Facility		$92.27	$177.45	$248.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $99.37 / $140.94	Professional		$82.22	$99.37	$140.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $154.79	Facility		$97.44	$97.44	$154.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $97.44 / $648.77	Professional		$71.13	$97.44	$648.77
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $133.11 / $133.11	Facility		$133.11	$133.11	$133.11
United Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $85.18 / $118.04	Professional		$69.34	$85.18	$118.04