Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $149.44 / $149.44	Facility		$149.44	$149.44	$149.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $149.44 / $193.84	Professional		$119.80	$149.44	$193.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.18 / $330.60 / $428.56	Facility		$159.18	$330.60	$428.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $171.42 / $293.87	Professional		$159.18	$171.42	$293.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $302.18	Facility		$214.95	$214.95	$302.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $1,129.76	Professional		$156.91	$214.95	$1,129.76
United Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $170.84 / $286.02	Professional		$146.93	$170.84	$286.02