Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.57 / $190.57 / $190.57	Facility		$190.57	$190.57	$190.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $190.57 / $245.38	Professional		$190.57	$190.57	$245.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.27 / $524.67 / $680.14	Facility		$257.27	$524.67	$680.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.62 / $277.06 / $474.96	Professional		$252.62	$277.06	$474.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $485.63	Facility		$277.45	$277.45	$485.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $277.45 / $2,035.44	Professional		$202.54	$277.45	$2,035.44
United Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $284.56 / $339.62	Professional		$193.89	$284.56	$339.62