Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.91 / $218.92 / $240.81	Facility		$218.91	$218.92	$240.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $217.01 / $475.49	Professional		$165.21	$217.01	$475.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.33 / $236.58 / $339.68	Facility		$211.33	$236.58	$339.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.33 / $232.46 / $489.98	Professional		$211.33	$232.46	$489.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $218.95 / $258.62	Facility		$95.00	$218.95	$258.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $247.79 / $464.02	Professional		$179.63	$247.79	$464.02
United Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $205.85 / $315.19	Professional		$141.29	$205.85	$315.19