Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $1,412.54	Facility		$158.49	$263.03	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $323.59	Professional		$151.36	$239.88	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $213.80	Facility		$177.83	$177.83	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $281.84 / $281.84	Facility		$34.67	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $1,445.44	Professional		$165.96	$295.12	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $389.05	Professional		$138.04	$229.09	$389.05