Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.99 / $852.61 / $2,300.00	Facility		$540.99	$852.61	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $594.99 / $814.36	Professional		$467.25	$594.99	$814.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $595.70 / $660.28 / $719.39	Facility		$595.70	$660.28	$719.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $327.99 / $639.46 / $639.46	Professional		$327.99	$639.46	$639.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $644.64 / $644.64	Facility		$644.64	$644.64	$644.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.34 / $727.77 / $1,494.68	Professional		$544.34	$727.77	$1,494.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,487.03 / $4,487.03 / $4,487.03	Facility		$4,487.03	$4,487.03	$4,487.03
United Facility/Professional Professional Modifier Low / Median / High Price $407.11 / $631.07 / $1,150.90	Professional		$407.11	$631.07	$1,150.90