Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.99 / $902.99 / $1,400.00	Facility		$902.99	$902.99	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.27 / $902.99 / $978.28	Professional		$806.27	$902.99	$978.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $916.91 / $1,047.76 / $1,141.55	Facility		$916.91	$1,047.76	$1,141.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,014.71 / $1,014.71 / $1,014.71	Professional		$1,014.71	$1,014.71	$1,014.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.30 / $983.30 / $983.30	Facility		$983.30	$983.30	$983.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.04 / $1,280.84 / $5,587.61	Professional		$826.04	$1,280.84	$5,587.61
United Facility/Professional Professional Modifier Low / Median / High Price $706.00 / $1,041.08 / $1,514.92	Professional		$706.00	$1,041.08	$1,514.92