Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $212.36 / $215.98	Facility		$212.36	$212.36	$215.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.97 / $237.57	Professional		$213.84	$215.97	$237.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $320.76 / $320.76	Facility		$213.84	$320.76	$320.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $209.91 / $213.84	Facility		$201.74	$209.91	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $393.16	Professional		$213.84	$213.84	$393.16
United Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $213.84 / $243.00	Professional		$207.42	$213.84	$243.00