Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.48 / $1,275.18 / $1,700.00	Facility		$829.48	$1,275.18	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.48 / $901.04 / $1,250.52	Professional		$829.48	$901.04	$1,250.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.95 / $902.97 / $1,075.94	Facility		$822.95	$902.97	$1,075.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.69 / $956.39 / $956.39	Professional		$490.69	$956.39	$956.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $968.65 / $968.65	Facility		$968.65	$968.65	$968.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.47 / $1,205.44 / $2,388.82	Professional		$826.47	$1,205.44	$2,388.82
United Facility/Professional Professional Modifier Low / Median / High Price $665.70 / $1,096.73 / $1,953.04	Professional		$665.70	$1,096.73	$1,953.04