Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $115.48 / $115.48	Facility		$115.48	$115.48	$115.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $115.48 / $124.20	Professional		$108.93	$115.48	$124.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.08 / $312.45 / $412.13	Facility		$153.08	$312.45	$412.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $164.85 / $277.74	Professional		$153.08	$164.85	$277.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $283.99	Facility		$159.22	$159.22	$283.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $159.22 / $1,190.30	Professional		$116.23	$159.22	$1,190.30
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $156.03 / $195.81	Professional		$117.49	$156.03	$195.81