Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $61.84 / $61.84	Facility		$61.84	$61.84	$61.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $61.84 / $70.09	Professional		$61.84	$61.84	$70.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.90 / $170.26 / $220.71	Facility		$100.90	$170.26	$220.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $110.29 / $189.06	Professional		$81.98	$110.29	$189.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $184.63	Facility		$99.25	$99.25	$184.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $702.56	Professional		$72.45	$72.45	$702.56
United Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $82.54 / $96.25	Facility		$82.54	$82.54	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $71.61 / $96.25	Professional		$61.59	$71.61	$96.25