Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.38 / $348.14 / $1,600.00	Facility		$256.38	$348.14	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.48 / $327.75 / $442.16	Professional		$254.48	$327.75	$442.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.91 / $276.27 / $329.36	Facility		$251.91	$276.27	$329.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $292.76 / $367.37	Professional		$199.14	$292.76	$367.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $443.02 / $443.02	Facility		$443.02	$443.02	$443.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.50 / $388.12 / $962.06	Professional		$273.50	$388.12	$962.06
United Facility/Professional Professional Modifier Low / Median / High Price $275.08 / $394.28 / $581.82	Professional		$275.08	$394.28	$581.82