Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.93 / $187.93 / $187.93	Facility		$187.93	$187.93	$187.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $187.93 / $222.16	Professional		$182.66	$187.93	$222.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.52 / $149.72 / $233.23	Facility		$48.52	$149.72	$233.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $50.04 / $50.04	Professional		$50.04	$50.04	$50.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.42 / $214.42 / $214.42	Facility		$214.42	$214.42	$214.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.22 / $295.02 / $820.56	Professional		$176.22	$295.02	$820.56
United Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $278.02 / $500.86	Professional		$152.97	$278.02	$500.86