Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $167.16 / $167.16	Facility		$167.16	$167.16	$167.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $159.97 / $167.16	Professional		$155.83	$159.97	$167.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $450.96 / $582.42	Facility		$210.32	$450.96	$582.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.32 / $226.50 / $388.28	Professional		$210.32	$226.50	$388.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $417.89	Facility		$268.08	$268.08	$417.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $1,751.49	Professional		$195.70	$268.08	$1,751.49
United Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $172.95 / $270.24	Professional		$151.33	$172.95	$270.24