Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.73 / $1,076.43 / $1,700.00	Facility		$689.73	$1,076.43	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.51 / $740.48 / $1,036.13	Professional		$684.51	$740.48	$1,036.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $747.77 / $833.63 / $908.24	Facility		$747.77	$833.63	$908.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.22 / $807.32 / $807.32	Professional		$414.22	$807.32	$807.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.37 / $802.37 / $802.37	Facility		$802.37	$802.37	$802.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.83 / $978.98 / $1,995.16	Professional		$682.83	$978.98	$1,995.16
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $750.70 / $1,110.07	Professional		$512.86	$750.70	$1,110.07