Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $364.20 / $437.04	Facility		$238.92	$364.20	$437.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $238.92 / $247.66	Professional		$218.52	$238.92	$247.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.50 / $437.04 / $509.88	Facility		$320.50	$437.04	$509.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $349.63 / $393.34	Professional		$349.63	$349.63	$393.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.73 / $349.63 / $873.99	Facility		$236.73	$349.63	$873.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $398.28 / $1,404.36	Professional		$113.81	$398.28	$1,404.36
United Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $122.37 / $122.37	Facility		$122.37	$122.37	$122.37
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $145.68 / $422.47	Professional		$122.37	$145.68	$422.47