Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.11 / $3,136.00 / $3,136.00	Facility		$499.11	$3,136.00	$3,136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $189.39 / $690.26	Professional		$92.97	$189.39	$690.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $106.36 / $150.16	Facility		$93.15	$106.36	$150.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $103.01 / $103.01	Professional		$103.01	$103.01	$103.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $149.37	Facility		$149.37	$149.37	$149.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $405.36 / $1,131.22	Professional		$103.00	$405.36	$1,131.22
United Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $555.48 / $1,045.17	Professional		$169.95	$555.48	$1,045.17