Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.93 / $148.93 / $148.93	Facility		$148.93	$148.93	$148.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $153.97 / $168.24	Professional		$148.93	$153.97	$168.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $96.01 / $192.17	Facility		$60.19	$96.01	$192.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $63.50 / $63.50	Professional		$63.50	$63.50	$63.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $178.55 / $178.55	Facility		$178.55	$178.55	$178.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $220.64 / $748.35	Professional		$127.82	$220.64	$748.35
United Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $190.69 / $353.82	Professional		$108.26	$190.69	$353.82