Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.05 / $625.22 / $1,400.00	Facility		$342.05	$625.22	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.83 / $376.25 / $587.87	Professional		$329.83	$376.25	$587.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.01 / $484.18 / $527.53	Facility		$437.01	$484.18	$527.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $468.91 / $468.91	Professional		$265.26	$468.91	$468.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.75 / $700.75 / $700.75	Facility		$700.75	$700.75	$700.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.50 / $561.74 / $1,099.61	Professional		$388.50	$561.74	$1,099.61
United Facility/Professional Professional Modifier Low / Median / High Price $301.92 / $481.58 / $643.77	Professional		$301.92	$481.58	$643.77