Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $537.03 / $537.03	Facility		$295.12	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $275.42 / $407.38	Professional		$3.98	$275.42	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $575.44 / $1,071.52	Facility		$295.12	$575.44	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,737.80 / $1,737.80	Professional		$407.38	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $354.81	Professional		$151.36	$162.18	$354.81