Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.87 / $253.67 / $1,700.00	Facility		$135.87	$253.67	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $217.28 / $288.64	Professional		$123.51	$217.28	$288.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.72 / $150.72 / $183.33	Facility		$150.72	$150.72	$183.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $162.96 / $162.96	Professional		$162.96	$162.96	$162.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.68 / $241.68 / $241.68	Facility		$241.68	$241.68	$241.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $288.77 / $702.02	Professional		$162.96	$288.77	$702.02
United Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $237.07 / $457.83	Professional		$162.66	$237.07	$457.83