Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.57 / $290.61 / $1,700.00	Facility		$186.57	$290.61	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $191.78 / $261.94	Professional		$173.45	$191.78	$261.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $225.05 / $245.20	Facility		$204.97	$225.05	$245.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $217.96 / $217.96	Professional		$111.72	$217.96	$217.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $221.71 / $221.71	Facility		$221.71	$221.71	$221.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $254.28 / $504.85	Professional		$184.12	$254.28	$504.85
United Facility/Professional Professional Modifier Low / Median / High Price $146.18 / $214.39 / $319.38	Professional		$146.18	$214.39	$319.38