Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.91 / $999.63 / $1,700.00	Facility		$639.91	$999.63	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.98 / $687.64 / $964.60	Professional		$634.98	$687.64	$964.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $694.72 / $774.14 / $843.44	Facility		$694.72	$774.14	$843.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.74 / $749.72 / $749.72	Professional		$384.74	$749.72	$749.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.20 / $746.20 / $746.20	Facility		$746.20	$746.20	$746.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $915.60 / $1,842.70	Professional		$633.66	$915.60	$1,842.70
United Facility/Professional Professional Modifier Low / Median / High Price $492.70 / $738.26 / $1,030.86	Professional		$492.70	$738.26	$1,030.86