Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.54 / $947.41 / $1,600.00	Facility		$628.54	$947.41	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.54 / $710.93 / $892.92	Professional		$628.54	$710.93	$892.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $669.15 / $733.69 / $799.38	Facility		$669.15	$733.69	$799.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $710.56 / $710.56	Professional		$364.63	$710.56	$710.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $740.79 / $740.79	Facility		$740.79	$740.79	$740.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.01 / $888.19 / $1,614.58	Professional		$581.01	$888.19	$1,614.58
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 $453.63 / $712.23 / $1,021.89	Professional		$453.63	$712.23	$1,021.89