Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.91 / $3,136.00 / $3,136.00	Facility		$251.91	$3,136.00	$3,136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $236.84 / $302.89	Professional		$148.13	$236.84	$302.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $180.06 / $196.18	Facility		$163.36	$180.06	$196.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $174.38 / $174.38	Professional		$144.97	$174.38	$174.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.94 / $261.94 / $261.94	Facility		$261.94	$261.94	$261.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.77 / $273.27 / $697.53	Professional		$160.77	$273.27	$697.53
United Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $292.20 / $419.18	Professional		$197.44	$292.20	$419.18