Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.60 / $627.60 / $1,600.00	Facility		$627.60	$627.60	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.60 / $639.28 / $810.54	Professional		$627.60	$639.28	$810.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.44 / $735.79 / $801.66	Facility		$671.44	$735.79	$801.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.58 / $712.58 / $712.58	Professional		$712.58	$712.58	$712.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.56 / $738.56 / $738.56	Facility		$738.56	$738.56	$738.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.60 / $890.72 / $3,145.44	Professional		$634.60	$890.72	$3,145.44
United Facility/Professional Professional Modifier Low / Median / High Price $475.06 / $760.01 / $1,003.31	Professional		$475.06	$760.01	$1,003.31