Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $223.67 / $1,400.00	Facility		$155.41	$223.67	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $211.26 / $253.42	Professional		$155.41	$211.26	$253.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.46 / $195.05 / $212.52	Facility		$177.46	$195.05	$212.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $188.90 / $188.90	Professional		$188.90	$188.90	$188.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.56 / $284.56 / $284.56	Facility		$284.56	$284.56	$284.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $239.23 / $619.51	Professional		$157.93	$239.23	$619.51
United Facility/Professional Professional Modifier Low / Median / High Price $186.29 / $261.45 / $385.95	Professional		$186.29	$261.45	$385.95