Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.05 / $173.26 / $1,400.00	Facility		$109.05	$173.26	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $142.12 / $233.90	Professional		$95.76	$142.12	$233.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.78 / $123.78 / $123.78	Facility		$123.78	$123.78	$123.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $174.27 / $205.96	Professional		$163.71	$174.27	$205.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $183.02 / $183.02	Facility		$183.02	$183.02	$183.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $164.48 / $517.62	Professional		$102.05	$164.48	$517.62
United Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $173.21 / $246.65	Professional		$124.68	$173.21	$246.65