Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.76 / $762.19 / $1,600.00	Facility		$495.76	$762.19	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.68 / $548.05 / $681.36	Professional		$468.68	$548.05	$681.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $534.01 / $590.26 / $643.10	Facility		$534.01	$590.26	$643.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.33 / $571.64 / $571.64	Professional		$293.33	$571.64	$571.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $580.85 / $580.85	Facility		$580.85	$580.85	$580.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.35 / $700.69 / $1,278.36	Professional		$483.35	$700.69	$1,278.36
United Facility/Professional Professional Modifier Low / Median / High Price $332.07 / $563.03 / $972.94	Professional		$332.07	$563.03	$972.94