Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.38 / $1,396.27 / $1,754.51	Facility		$890.38	$1,396.27	$1,754.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.38 / $1,122.57 / $1,655.14	Professional		$890.38	$1,122.57	$1,655.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $901.10 / $988.14 / $1,178.09	Facility		$901.10	$988.14	$1,178.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.10 / $1,047.20 / $1,047.20	Professional		$675.10	$1,047.20	$1,047.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.46 / $1,584.46 / $1,584.46	Facility		$1,584.46	$1,584.46	$1,584.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.09 / $1,383.99 / $3,055.73	Professional		$932.09	$1,383.99	$3,055.73
United Facility/Professional Professional Modifier Low / Median / High Price $872.76 / $1,286.31 / $1,803.70	Professional		$872.76	$1,286.31	$1,803.70