Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $113.32 / $645.89	Facility		$113.32	$113.32	$645.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $184.71 / $536.09	Professional		$113.32	$184.71	$536.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $129.27 / $226.22	Facility		$125.19	$129.27	$226.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $570.54 / $570.54	Facility		$167.40	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $700.06	Professional		$570.54	$570.54	$700.06
United Facility/Professional Professional Modifier Low / Median / High Price $626.51 / $645.89 / $645.89	Professional		$626.51	$645.89	$645.89