Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.83 / $707.83 / $1,400.00	Facility		$707.83	$707.83	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.41 / $707.83 / $840.10	Professional		$682.41	$707.83	$840.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $752.60 / $856.73 / $933.42	Facility		$752.60	$856.73	$933.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.70 / $829.70 / $829.70	Professional		$829.70	$829.70	$829.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.10 / $806.10 / $806.10	Facility		$806.10	$806.10	$806.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $1,065.40 / $4,876.99	Professional		$682.14	$1,065.40	$4,876.99
United Facility/Professional Professional Modifier Low / Median / High Price $583.32 / $917.18 / $1,343.21	Professional		$583.32	$917.18	$1,343.21