Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $269.15 / $1,412.54	Facility		$104.71	$269.15	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $354.81	Professional		$102.33	$245.47	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Facility		$112.20	$112.20	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $1,318.26	Facility		$177.83	$177.83	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $269.15 / $1,318.26	Professional		$102.33	$269.15	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,096.48	Facility		$457.09	$457.09	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $478.63	Professional		$91.20	$204.17	$478.63