Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.74 / $271.64 / $1,400.00	Facility		$170.74	$271.64	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $253.58 / $412.15	Professional		$170.74	$253.58	$412.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.66 / $210.37 / $229.20	Facility		$188.66	$210.37	$229.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $203.74 / $203.74	Professional		$159.52	$203.74	$203.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $302.51 / $302.51	Facility		$302.51	$302.51	$302.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $311.14 / $740.88	Professional		$179.47	$311.14	$740.88
United Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $283.25 / $414.86	Professional		$197.46	$283.25	$414.86