Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $231.40 / $277.68	Facility		$151.80	$231.40	$277.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $151.80 / $157.35	Professional		$138.84	$151.80	$157.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.63 / $277.68 / $323.95	Facility		$203.63	$277.68	$323.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.14 / $222.14 / $249.91	Professional		$222.14	$222.14	$249.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $222.14 / $555.32	Facility		$150.41	$222.14	$555.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.28 / $892.28 / $892.28	Professional		$892.28	$892.28	$892.28
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $92.56 / $268.42	Professional		$77.75	$92.56	$268.42