Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $2,290.87	Facility		$794.33	$794.33	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,348.96	Professional		$794.33	$891.25	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,023.29	Facility		$851.14	$851.14	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $4,168.69	Professional		$676.08	$1,122.02	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $16,595.87	Facility		$3,548.13	$3,548.13	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,288.25	Professional		$588.84	$776.25	$1,288.25