Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.47 / $710.08 / $1,700.00	Facility		$456.47	$710.08	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.47 / $475.78 / $725.83	Professional		$456.47	$475.78	$725.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.25 / $549.91 / $599.13	Facility		$502.25	$549.91	$599.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.23 / $532.55 / $532.55	Professional		$273.23	$532.55	$532.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $537.02 / $537.02	Facility		$537.02	$537.02	$537.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.43 / $665.71 / $1,327.51	Professional		$456.43	$665.71	$1,327.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $608.30 / $802.97	Professional		$378.70	$608.30	$802.97