Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.11 / $376.69 / $452.03	Facility		$247.11	$376.69	$452.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $247.11 / $256.14	Professional		$226.01	$247.11	$256.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.49 / $452.03 / $527.36	Facility		$331.49	$452.03	$527.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $361.62 / $406.82	Professional		$361.62	$361.62	$406.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.85 / $361.62 / $903.99	Facility		$244.85	$361.62	$903.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $412.09 / $1,452.51	Professional		$117.75	$412.09	$1,452.51
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $150.68 / $436.96	Professional		$126.57	$150.68	$436.96