Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.79 / $1,333.49 / $2,300.00	Facility		$857.79	$1,333.49	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.93 / $913.30 / $1,302.78	Professional		$846.93	$913.30	$1,302.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $925.09 / $1,032.70 / $1,125.13	Facility		$925.09	$1,032.70	$1,125.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $1,000.12 / $1,000.12	Professional		$513.00	$1,000.12	$1,000.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.60 / $990.60 / $990.60	Facility		$990.60	$990.60	$990.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.35 / $1,250.15 / $2,478.06	Professional		$844.35	$1,250.15	$2,478.06
United Facility/Professional Professional Modifier Low / Median / High Price $673.67 / $1,035.98 / $1,396.05	Professional		$673.67	$1,035.98	$1,396.05