Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $144.13 / $144.13	Facility		$144.13	$144.13	$144.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $137.93 / $168.11	Professional		$134.35	$137.93	$168.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.33 / $376.61 / $488.20	Facility		$181.33	$376.61	$488.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.33 / $195.28 / $334.76	Professional		$181.33	$195.28	$334.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $376.18	Facility		$174.32	$174.32	$376.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $1,576.67	Professional		$127.25	$174.32	$1,576.67
United Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $154.51 / $231.96	Professional		$116.65	$154.51	$231.96