Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.75 / $412.93 / $1,200.00	Facility		$259.75	$412.93	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.75 / $309.76 / $447.50	Professional		$259.75	$309.76	$447.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $319.77 / $348.41	Facility		$290.89	$319.77	$348.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $309.70 / $309.70	Professional		$179.63	$309.70	$309.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.46 / $466.46 / $466.46	Facility		$466.46	$466.46	$466.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $349.84 / $803.22	Professional		$273.95	$349.84	$803.22
United Facility/Professional Professional Modifier Low / Median / High Price $201.03 / $274.45 / $466.46	Professional		$201.03	$274.45	$466.46