Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,382.40 / $1,382.40	Facility		$784.00	$1,382.40	$1,382.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $1,382.40	Professional		$30.00	$50.00	$1,382.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $284.06 / $681.74	Facility		$73.04	$284.06	$681.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $535.65 / $1,264.80	Professional		$162.32	$535.65	$1,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $900.00 / $1,290.00	Professional		$630.00	$900.00	$1,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.13 / $71.00	Professional		$45.00	$55.13	$71.00