Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.22 / $334.96 / $1,400.00	Facility		$197.22	$334.96	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $211.32 / $325.05	Professional		$187.27	$211.32	$325.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.92 / $259.39 / $282.62	Facility		$219.92	$259.39	$282.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $251.22 / $251.22	Professional		$128.85	$251.22	$251.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $235.62	Facility		$235.62	$235.62	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $314.02 / $567.67	Professional		$195.21	$314.02	$567.67
United Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $238.36 / $342.00	Professional		$161.78	$238.36	$342.00