Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.95 / $1,400.00 / $2,600.00	Facility		$940.95	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.95 / $1,003.96 / $1,427.46	Professional		$940.95	$1,003.96	$1,427.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,017.05 / $1,135.08 / $1,236.68	Facility		$1,017.05	$1,135.08	$1,236.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $563.97 / $1,099.27 / $1,099.27	Professional		$563.97	$1,099.27	$1,099.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.54 / $1,089.54 / $1,089.54	Facility		$1,089.54	$1,089.54	$1,089.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.18 / $1,451.50 / $2,731.27	Professional		$928.18	$1,451.50	$2,731.27
United Facility/Professional Professional Modifier Low / Median / High Price $765.49 / $1,193.56 / $1,705.52	Professional		$765.49	$1,193.56	$1,705.52