Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.59 / $1,397.90 / $1,600.00	Facility		$159.59	$1,397.90	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.82 / $268.64 / $1,909.68	Professional		$156.82	$268.64	$1,909.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.01 / $182.35 / $198.68	Facility		$160.01	$182.35	$198.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.60 / $176.60 / $176.60	Professional		$176.60	$176.60	$176.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.57 / $256.57 / $256.57	Facility		$256.57	$256.57	$256.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $696.92 / $3,302.85	Professional		$206.04	$696.92	$3,302.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,197.35 / $1,843.46 / $3,174.85	Professional		$1,197.35	$1,843.46	$3,174.85