Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $229.09 / $1,412.54	Facility		$151.36	$229.09	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $309.03	Professional		$144.54	$213.80	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $269.15 / $269.15	Facility		$34.67	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $1,230.27	Professional		$154.88	$263.03	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $776.25	Facility		$457.09	$457.09	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $354.81	Professional		$131.83	$208.93	$354.81