Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $229.09 / $1,412.54	Facility		$95.50	$229.09	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $309.03	Professional		$93.33	$190.55	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $134.90	Facility		$112.20	$112.20	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $181.97 / $181.97	Facility		$34.67	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $257.04 / $1,230.27	Professional		$104.71	$257.04	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,454.71	Facility		$691.83	$691.83	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $371.54	Professional		$87.10	$177.83	$371.54