Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.18 / $112.26 / $112.26	Facility		$91.18	$112.26	$112.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $112.26 / $116.71	Professional		$111.15	$112.26	$116.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $166.73	Facility		$111.15	$111.15	$166.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $257.72	Professional		$111.15	$111.15	$257.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $402.90 / $402.90	Facility		$104.86	$402.90	$402.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $317.75	Professional		$111.15	$111.15	$317.75