Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.93 / $264.29 / $1,600.00	Facility		$134.93	$264.29	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.93 / $231.20 / $358.66	Professional		$134.93	$231.20	$358.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $154.51 / $168.33	Facility		$141.97	$154.51	$168.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $246.19 / $309.23	Professional		$149.63	$246.19	$309.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.66 / $227.66 / $227.66	Facility		$227.66	$227.66	$227.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $260.77 / $640.77	Professional		$128.47	$260.77	$640.77
United Facility/Professional Professional Modifier Low / Median / High Price $197.23 / $299.89 / $503.63	Professional		$197.23	$299.89	$503.63