Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.05 / $597.80 / $1,700.00	Facility		$374.05	$597.80	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.05 / $412.24 / $594.69	Professional		$374.05	$412.24	$594.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $417.77 / $462.96 / $504.40	Facility		$417.77	$462.96	$504.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.01 / $448.36 / $448.36	Professional		$230.01	$448.36	$448.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $451.96	Facility		$451.96	$451.96	$451.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.17 / $523.59 / $1,107.44	Professional		$380.17	$523.59	$1,107.44
United Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $426.20 / $797.58	Professional		$272.66	$426.20	$797.58