Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.85 / $211.85 / $211.85	Facility		$211.85	$211.85	$211.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $211.85 / $227.86	Professional		$210.95	$211.85	$227.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.83 / $551.29 / $756.07	Facility		$280.83	$551.29	$756.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $302.43 / $490.03	Professional		$280.83	$302.43	$490.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $526.79	Facility		$299.52	$299.52	$526.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $299.52 / $2,207.94	Professional		$218.65	$299.52	$2,207.94
United Facility/Professional Facility Modifier Low / Median / High Price $462.82 / $462.82 / $462.82	Facility		$462.82	$462.82	$462.82
United Facility/Professional Professional Modifier Low / Median / High Price $215.54 / $284.58 / $359.23	Professional		$215.54	$284.58	$359.23