Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.93 / $188.32 / $1,400.00	Facility		$120.93	$188.32	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $177.84 / $215.18	Professional		$119.31	$177.84	$215.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.27 / $151.79 / $165.38	Facility		$138.27	$151.79	$165.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $147.00 / $147.00	Professional		$147.00	$147.00	$147.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.72 / $221.72 / $221.72	Facility		$221.72	$221.72	$221.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $201.06 / $512.45	Professional		$122.62	$201.06	$512.45
United Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $222.61 / $311.85	Professional		$154.86	$222.61	$311.85