Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.79 / $1,338.70 / $1,700.00	Facility		$882.79	$1,338.70	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.63 / $924.32 / $1,336.83	Professional		$853.63	$924.32	$1,336.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.34 / $1,036.73 / $1,129.53	Facility		$914.34	$1,036.73	$1,129.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.17 / $1,004.03 / $1,004.03	Professional		$515.17	$1,004.03	$1,004.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.74 / $977.74 / $977.74	Facility		$977.74	$977.74	$977.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.26 / $1,255.04 / $2,543.77	Professional		$832.26	$1,255.04	$2,543.77
United Facility/Professional Professional Modifier Low / Median / High Price $652.44 / $1,103.05 / $1,455.13	Professional		$652.44	$1,103.05	$1,455.13