Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,698.24	Facility		$489.78	$489.78	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $794.33	Professional		$416.87	$512.86	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $645.65	Facility		$537.03	$537.03	$645.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,862.09	Facility		$870.96	$870.96	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $2,691.53	Professional		$457.09	$724.44	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $9,120.11	Facility		$2,884.03	$2,884.03	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $794.33	Professional		$371.54	$524.81	$794.33