Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $812.83 / $1,698.24	Facility		$691.83	$812.83	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $912.01	Professional		$616.60	$741.31	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $933.25	Facility		$776.25	$776.25	$933.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,862.09	Facility		$1,230.27	$1,230.27	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $4,168.69	Professional		$691.83	$954.99	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $10,000.00	Facility		$2,884.03	$2,884.03	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,230.27	Professional		$602.56	$851.14	$1,230.27