Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.64 / $261.64 / $313.98	Facility		$171.64	$261.64	$313.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $169.55 / $171.64	Professional		$156.99	$169.55	$171.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.25 / $282.58 / $313.98	Facility		$230.25	$282.58	$313.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $251.18 / $282.58	Professional		$251.18	$251.18	$282.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.08 / $251.18 / $627.91	Facility		$170.08	$251.18	$627.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $300.45 / $1,008.92	Professional		$69.16	$300.45	$1,008.92
United Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $81.12 / $235.25	Professional		$77.44	$81.12	$235.25