Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.21 / $936.80 / $1,700.00	Facility		$599.21	$936.80	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.64 / $646.15 / $910.63	Professional		$595.64	$646.15	$910.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $651.62 / $725.48 / $790.43	Facility		$651.62	$725.48	$790.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.45 / $702.60 / $702.60	Professional		$360.45	$702.60	$702.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.82 / $700.82 / $700.82	Facility		$700.82	$700.82	$700.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.70 / $819.23 / $1,720.72	Professional		$584.70	$819.23	$1,720.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.18 / $680.15 / $958.93	Professional		$442.18	$680.15	$958.93