Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.59 / $223.35 / $1,400.00	Facility		$107.59	$223.35	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $170.96 / $266.70	Professional		$98.59	$170.96	$266.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.85 / $128.62 / $140.13	Facility		$112.85	$128.62	$140.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $124.56 / $230.32	Professional		$124.56	$124.56	$230.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $180.95 / $180.95	Facility		$180.95	$180.95	$180.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $218.22 / $500.46	Professional		$107.86	$218.22	$500.46
United Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $219.00 / $338.99	Professional		$158.47	$219.00	$338.99