Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.72 / $1,307.49 / $1,700.00	Facility		$852.72	$1,307.49	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.72 / $1,240.40 / $1,624.41	Professional		$852.72	$1,240.40	$1,624.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.23 / $1,051.92 / $1,146.08	Facility		$957.23	$1,051.92	$1,146.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $1,018.74	Professional		$1,018.74	$1,018.74	$1,018.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.91 / $1,534.91 / $1,534.91	Facility		$1,534.91	$1,534.91	$1,534.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.07 / $1,376.38 / $3,865.29	Professional		$863.07	$1,376.38	$3,865.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,209.41 / $1,849.68 / $2,864.34	Professional		$1,209.41	$1,849.68	$2,864.34