Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $588.84 / $1,659.59	Facility		$104.71	$588.84	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $109.65	Professional		$77.62	$95.50	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $776.25 / $776.25	Professional		$204.17	$776.25	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $234.42	Professional		$64.57	$102.33	$234.42