Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $203.11 / $1,400.00	Facility		$117.64	$203.11	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $180.00 / $252.92	Professional		$113.12	$180.00	$252.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.54 / $139.40 / $151.88	Facility		$127.54	$139.40	$151.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $135.00 / $213.29	Professional		$115.70	$135.00	$213.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $204.52 / $204.52	Facility		$204.52	$204.52	$204.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $215.90 / $498.83	Professional		$126.28	$215.90	$498.83
United Facility/Professional Facility Modifier Low / Median / High Price $9,092.48 / $9,092.48 / $9,092.48	Facility		$9,092.48	$9,092.48	$9,092.48
United Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $227.28 / $350.98	Professional		$147.15	$227.28	$350.98