Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.24 / $125.04 / $125.04	Facility		$88.24	$125.04	$125.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $125.04 / $129.99	Professional		$123.80	$125.04	$129.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $185.70	Facility		$123.80	$123.80	$185.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $287.04	Professional		$123.80	$123.80	$287.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $229.50 / $229.50	Facility		$116.79	$229.50	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $309.66	Professional		$123.80	$123.80	$309.66