Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.23 / $152.68 / $152.68	Facility		$105.23	$152.68	$152.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $152.68 / $167.94	Professional		$151.16	$152.68	$167.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $226.76	Facility		$151.16	$151.16	$226.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $350.49	Professional		$151.16	$151.16	$350.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $340.68 / $340.68	Facility		$142.61	$340.68	$340.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $382.84	Professional		$151.16	$151.16	$382.84