Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.55 / $1,002.45 / $1,400.00	Facility		$637.55	$1,002.45	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.55 / $823.99 / $1,136.31	Professional		$637.55	$823.99	$1,136.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.94 / $707.38 / $845.82	Facility		$646.94	$707.38	$845.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $454.45 / $751.84 / $751.84	Professional		$454.45	$751.84	$751.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.27 / $1,134.27 / $1,134.27	Facility		$1,134.27	$1,134.27	$1,134.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.16 / $1,109.71 / $2,471.28	Professional		$693.16	$1,109.71	$2,471.28
United Facility/Professional Professional Modifier Low / Median / High Price $637.28 / $1,033.30 / $1,448.39	Professional		$637.28	$1,033.30	$1,448.39