Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.12 / $1,142.92 / $1,700.00	Facility		$340.12	$1,142.92	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.12 / $510.00 / $1,402.32	Professional		$340.12	$510.00	$1,402.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $347.65 / $430.31 / $575.98	Facility		$347.65	$430.31	$575.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $382.50 / $382.50	Professional		$382.50	$382.50	$382.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.45 / $557.45 / $557.45	Facility		$557.45	$557.45	$557.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.58 / $1,064.93 / $2,797.43	Professional		$412.58	$1,064.93	$2,797.43
United Facility/Professional Professional Modifier Low / Median / High Price $869.07 / $1,332.57 / $2,013.39	Professional		$869.07	$1,332.57	$2,013.39