Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $154.77 / $154.77	Facility		$154.77	$154.77	$154.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $148.12 / $164.36	Professional		$128.80	$148.12	$164.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.72 / $389.49 / $524.25	Facility		$194.72	$389.49	$524.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $209.70 / $312.27	Professional		$182.16	$209.70	$312.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $343.86	Facility		$159.91	$159.91	$343.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $1,441.23	Professional		$116.74	$116.74	$1,441.23
United Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $149.44 / $250.20	Professional		$107.02	$149.44	$250.20