Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.72 / $226.72 / $226.72	Facility		$226.72	$226.72	$226.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.72 / $226.72 / $246.65	Professional		$226.72	$226.72	$246.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.52 / $624.16 / $821.97	Facility		$300.52	$624.16	$821.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $323.64 / $523.67	Professional		$300.52	$323.64	$523.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $571.03	Facility		$366.26	$366.26	$571.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $366.26 / $2,393.37	Professional		$267.37	$366.26	$2,393.37
United Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $327.96 / $401.61	Professional		$230.66	$327.96	$401.61