Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $146.00 / $146.00	Facility		$146.00	$146.00	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $146.00 / $157.02	Professional		$144.69	$146.00	$157.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.37 / $401.95 / $521.04	Facility		$199.37	$401.95	$521.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.53 / $214.71 / $368.08	Professional		$193.53	$214.71	$368.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $359.45	Facility		$170.29	$170.29	$359.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $1,463.06	Professional		$144.75	$170.29	$1,463.06
United Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $204.79 / $258.62	Professional		$148.54	$204.79	$258.62