Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.38 / $285.02 / $1,400.00	Facility		$154.38	$285.02	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $269.57 / $433.57	Professional		$154.38	$269.57	$433.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.68 / $187.45 / $204.24	Facility		$169.68	$187.45	$204.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $181.55 / $181.55	Professional		$163.10	$181.55	$181.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $272.08	Facility		$272.08	$272.08	$272.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $304.45 / $752.61	Professional		$164.09	$304.45	$752.61
United Facility/Professional Professional Modifier Low / Median / High Price $213.93 / $321.77 / $463.04	Professional		$213.93	$321.77	$463.04