Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,584.89	Facility		$676.08	$676.08	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,148.15	Professional		$676.08	$776.25	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Facility		$724.44	$724.44	$870.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,174.90 / $1,174.90	Facility		$34.67	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $3,388.44	Professional		$588.84	$977.24	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,230.27	Facility		$645.65	$645.65	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,148.15	Professional		$524.81	$691.83	$1,148.15