Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.25 / $1,009.89 / $1,600.00	Facility		$647.25	$1,009.89	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.83 / $694.06 / $985.99	Professional		$641.83	$694.06	$985.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.57 / $782.09 / $852.09	Facility		$701.57	$782.09	$852.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.53 / $757.42 / $757.42	Professional		$388.53	$757.42	$757.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.89 / $752.89 / $752.89	Facility		$752.89	$752.89	$752.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.34 / $889.08 / $1,867.57	Professional		$640.34	$889.08	$1,867.57
United Facility/Professional Professional Modifier Low / Median / High Price $477.55 / $714.21 / $1,048.02	Professional		$477.55	$714.21	$1,048.02