Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.11 / $86.11 / $86.11	Facility		$86.11	$86.11	$86.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $86.11 / $92.61	Professional		$86.11	$86.11	$92.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.14 / $257.54 / $316.08	Facility		$114.14	$257.54	$316.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $122.92 / $210.72	Professional		$114.14	$122.92	$210.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $225.54	Facility		$113.00	$113.00	$225.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $945.30	Professional		$82.49	$113.00	$945.30
United Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $122.38 / $146.01	Professional		$87.61	$122.38	$146.01