Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.89 / $287.89 / $1,400.00	Facility		$287.89	$287.89	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $297.69 / $376.49	Professional		$287.89	$297.69	$376.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.06 / $344.95 / $375.84	Facility		$315.06	$344.95	$375.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $334.08 / $334.08	Professional		$334.08	$334.08	$334.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.86 / $344.86 / $344.86	Facility		$344.86	$344.86	$344.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.74 / $417.59 / $1,450.61	Professional		$298.74	$417.59	$1,450.61
United Facility/Professional Professional Modifier Low / Median / High Price $210.26 / $371.27 / $535.10	Professional		$210.26	$371.27	$535.10