Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.36 / $302.38 / $362.85	Facility		$198.36	$302.38	$362.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $198.36 / $205.62	Professional		$181.43	$198.36	$205.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.08 / $362.85 / $423.33	Facility		$266.08	$362.85	$423.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $290.27 / $326.57	Professional		$290.27	$290.27	$326.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.55 / $290.27 / $725.66	Facility		$196.55	$290.27	$725.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $409.13 / $1,165.96	Professional		$116.91	$409.13	$1,165.96
United Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $125.43 / $387.04	Professional		$108.86	$125.43	$387.04