Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.24 / $868.24 / $1,700.00	Facility		$868.24	$868.24	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.31 / $868.24 / $929.09	Professional		$791.31	$868.24	$929.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $956.32 / $956.32 / $1,167.17	Facility		$956.32	$956.32	$1,167.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,037.48 / $1,037.48 / $1,037.48	Professional		$1,037.48	$1,037.48	$1,037.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.80 / $1,025.80 / $1,025.80	Facility		$1,025.80	$1,025.80	$1,025.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.32 / $1,087.08 / $2,399.05	Professional		$735.32	$1,087.08	$2,399.05
United Facility/Professional Professional Modifier Low / Median / High Price $709.57 / $952.04 / $1,383.31	Professional		$709.57	$952.04	$1,383.31