Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.15 / $378.28 / $453.93	Facility		$248.15	$378.28	$453.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $248.15 / $257.23	Professional		$226.97	$248.15	$257.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.88 / $453.93 / $529.59	Facility		$332.88	$453.93	$529.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.14 / $363.14 / $408.54	Professional		$363.14	$363.14	$408.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.88 / $363.14 / $907.77	Facility		$245.88	$363.14	$907.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $78.38 / $1,458.63	Professional		$23.80	$78.38	$1,458.63
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $55.93 / $181.57	Professional		$16.64	$55.93	$181.57