Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.94 / $342.90 / $836.10	Facility		$126.94	$342.90	$836.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $115.40 / $119.62	Professional		$104.14	$115.40	$119.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.88 / $211.10 / $246.28	Facility		$168.88	$211.10	$246.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $168.88 / $189.99	Professional		$168.88	$168.88	$189.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.60 / $335.60 / $335.60	Facility		$335.60	$335.60	$335.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.92 / $263.72 / $903.41	Professional		$243.92	$263.72	$903.41
United Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $154.11 / $324.44	Professional		$77.40	$154.11	$324.44