Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $190.80 / $1,400.00	Facility		$190.80	$190.80	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $190.80 / $333.91	Professional		$166.85	$190.80	$333.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.25 / $218.34 / $237.88	Facility		$200.25	$218.34	$237.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.08 / $200.15 / $236.54	Professional		$184.08	$200.15	$236.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $214.12 / $214.12	Facility		$214.12	$214.12	$214.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.93 / $244.94 / $894.93	Professional		$172.93	$244.94	$894.93
United Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $202.96 / $296.47	Professional		$145.44	$202.96	$296.47