Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $204.17	Professional		$131.83	$151.36	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $102.33 / $190.55	Facility		$60.26	$102.33	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $741.31	Professional		$120.23	$213.80	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $331.13	Professional		$107.15	$186.21	$331.13