Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.40 / $620.75 / $1,700.00	Facility		$394.40	$620.75	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.40 / $433.06 / $580.66	Professional		$394.40	$433.06	$580.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.76 / $480.72 / $523.76	Facility		$433.76	$480.72	$523.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.97 / $465.56 / $465.56	Professional		$238.97	$465.56	$465.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.55 / $523.80 / $1,122.83	Professional		$396.55	$523.80	$1,122.83
United Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $484.42 / $620.75	Professional		$296.77	$484.42	$620.75