Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.62 / $388.64 / $1,200.00	Facility		$247.62	$388.64	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $348.57 / $609.09	Professional		$247.62	$348.57	$609.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.81 / $275.49 / $327.92	Facility		$250.81	$275.49	$327.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.31 / $291.48 / $291.48	Professional		$206.31	$291.48	$291.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.75 / $441.75 / $441.75	Facility		$441.75	$441.75	$441.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.01 / $404.41 / $1,080.56	Professional		$272.01	$404.41	$1,080.56
United Facility/Professional Professional Modifier Low / Median / High Price $293.02 / $443.19 / $598.16	Professional		$293.02	$443.19	$598.16