Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $158.96 / $158.96	Facility		$158.96	$158.96	$158.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $152.13 / $173.61	Professional		$148.18	$152.13	$173.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.99 / $406.71 / $538.44	Facility		$199.99	$406.71	$538.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.99 / $215.38 / $361.52	Professional		$199.99	$215.38	$361.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $394.98	Facility		$218.57	$218.57	$394.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $218.57 / $1,655.48	Professional		$159.56	$218.57	$1,655.48
United Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $162.13 / $255.84	Professional		$125.98	$162.13	$255.84