Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.31 / $473.31 / $1,400.00	Facility		$473.31	$473.31	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.31 / $490.22 / $538.74	Professional		$473.31	$490.22	$538.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.78 / $543.67 / $592.35	Facility		$468.78	$543.67	$592.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.54 / $526.54 / $526.54	Professional		$526.54	$526.54	$526.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.10 / $503.10 / $503.10	Facility		$503.10	$503.10	$503.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.66 / $698.36 / $2,385.91	Professional		$412.66	$698.36	$2,385.91
United Facility/Professional Professional Modifier Low / Median / High Price $378.78 / $551.63 / $821.03	Professional		$378.78	$551.63	$821.03