Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.44 / $118.44 / $118.44	Facility		$118.44	$118.44	$118.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $113.35 / $137.83	Professional		$105.27	$113.35	$137.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.01 / $311.94 / $412.63	Facility		$149.01	$311.94	$412.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $160.47 / $255.22	Professional		$148.88	$160.47	$255.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $272.16	Facility		$150.11	$150.11	$272.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $1,140.70	Professional		$109.58	$150.11	$1,140.70
United Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $114.46 / $190.62	Professional		$88.93	$114.46	$190.62