Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.67 / $782.43 / $1,700.00	Facility		$499.67	$782.43	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.67 / $538.60 / $751.95	Professional		$499.67	$538.60	$751.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $544.10 / $605.92 / $660.18	Facility		$544.10	$605.92	$660.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.10 / $586.82 / $586.82	Professional		$301.10	$586.82	$586.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $585.13	Facility		$585.13	$585.13	$585.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.14 / $744.17 / $1,428.36	Professional		$496.14	$744.17	$1,428.36
United Facility/Professional Facility Modifier Low / Median / High Price $9,096.79 / $9,096.79 / $9,096.79	Facility		$9,096.79	$9,096.79	$9,096.79
United Facility/Professional Professional Modifier Low / Median / High Price $403.28 / $603.20 / $808.28	Professional		$403.28	$603.20	$808.28