Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.25 / $191.25 / $191.25	Facility		$191.25	$191.25	$191.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $191.25 / $207.89	Professional		$186.23	$191.25	$207.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.02 / $526.53 / $682.54	Facility		$312.02	$526.53	$682.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.51 / $337.22 / $578.09	Professional		$253.51	$337.22	$578.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $564.54	Facility		$305.27	$305.27	$564.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $305.27 / $2,097.57	Professional		$222.85	$305.27	$2,097.57
United Facility/Professional Professional Modifier Low / Median / High Price $194.58 / $267.02 / $325.74	Professional		$194.58	$267.02	$325.74