Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.72 / $259.66 / $1,700.00	Facility		$171.72	$259.66	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $182.41 / $277.19	Professional		$171.72	$182.41	$277.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.30 / $201.10 / $219.09	Facility		$184.30	$201.10	$219.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $194.75 / $194.75	Professional		$99.97	$194.75	$194.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $199.04 / $199.04	Facility		$199.04	$199.04	$199.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $259.76 / $548.13	Professional		$169.99	$259.76	$548.13
United Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $259.66 / $546.16	Professional		$140.11	$259.66	$546.16