Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $205.41 / $1,400.00	Facility		$135.00	$205.41	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $135.00 / $160.06	Professional		$121.94	$135.00	$160.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $159.07 / $173.31	Facility		$138.31	$159.07	$173.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $154.06 / $154.06	Professional		$79.06	$154.06	$154.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $147.79 / $147.79	Facility		$147.79	$147.79	$147.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $185.73 / $379.12	Professional		$123.70	$185.73	$379.12
United Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $165.77 / $243.79	Professional		$110.51	$165.77	$243.79