Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.84 / $681.52 / $1,600.00	Facility		$434.84	$681.52	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $478.42 / $658.73	Professional		$434.84	$478.42	$658.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $479.21 / $527.78 / $575.03	Facility		$479.21	$527.78	$575.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $511.14 / $511.14	Professional		$262.27	$511.14	$511.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $518.54 / $518.54	Facility		$518.54	$518.54	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.06 / $613.95 / $1,202.40	Professional		$438.06	$613.95	$1,202.40
United Facility/Professional Professional Modifier Low / Median / High Price $331.08 / $516.48 / $700.81	Professional		$331.08	$516.48	$700.81