Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $192.17 / $244.08	Facility		$21.16	$192.17	$244.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $174.12 / $232.00	Professional		$116.54	$174.12	$232.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.26 / $194.65 / $270.91	Facility		$169.26	$194.65	$270.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $292.38 / $451.94	Professional		$194.92	$292.38	$451.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $236.97 / $466.10	Professional		$169.26	$236.97	$466.10
United Facility/Professional Professional Modifier Low / Median / High Price $163.29 / $242.77 / $364.27	Professional		$163.29	$242.77	$364.27