Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $80.84 / $80.84	Facility		$56.03	$80.84	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.84 / $84.04	Professional		$80.04	$80.84	$84.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $120.06	Facility		$80.04	$80.04	$120.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $185.58	Professional		$80.04	$80.04	$185.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $624.34 / $624.34	Facility		$75.51	$624.34	$624.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $589.20	Professional		$80.04	$80.04	$589.20