Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.04 / $190.69 / $1,400.00	Facility		$127.04	$190.69	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $180.58 / $217.21	Professional		$127.04	$180.58	$217.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.63 / $158.62 / $172.81	Facility		$144.63	$158.62	$172.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.61 / $153.61 / $153.61	Professional		$153.61	$153.61	$153.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.91 / $231.91 / $231.91	Facility		$231.91	$231.91	$231.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $203.86 / $521.09	Professional		$128.94	$203.86	$521.09
United Facility/Professional Professional Modifier Low / Median / High Price $157.51 / $226.42 / $316.76	Professional		$157.51	$226.42	$316.76