Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $112.20	Facility		$77.62	$77.62	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $123.03	Professional		$112.20	$112.20	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $831.76 / $831.76	Facility		$107.15	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $478.63	Professional		$112.20	$112.20	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $812.83 / $1,096.48	Professional		$125.89	$812.83	$1,096.48