Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $433.64 / $1,052.86	Facility		$153.72	$433.64	$1,052.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $153.72 / $284.70	Professional		$80.40	$153.72	$284.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.70 / $292.63 / $318.82	Facility		$274.70	$292.63	$318.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $201.29 / $283.39	Professional		$145.37	$201.29	$283.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $310.98 / $310.98	Facility		$310.98	$310.98	$310.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.82 / $319.89 / $1,303.42	Professional		$252.82	$319.89	$1,303.42
United Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $80.34 / $171.44	Professional		$58.43	$80.34	$171.44