Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.89 / $5,223.00 / $5,223.00	Facility		$375.89	$5,223.00	$5,223.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.38 / $346.46 / $526.11	Professional		$221.38	$346.46	$526.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.51 / $291.11 / $317.16	Facility		$265.51	$291.11	$317.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $281.92 / $281.92	Professional		$213.28	$281.92	$281.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $425.74	Facility		$425.74	$425.74	$425.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $415.76 / $1,064.27	Professional		$256.32	$415.76	$1,064.27
United Facility/Professional Professional Modifier Low / Median / High Price $291.63 / $426.13 / $583.26	Professional		$291.63	$426.13	$583.26