Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.40 / $447.40 / $1,400.00	Facility		$447.40	$447.40	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $448.65 / $556.67	Professional		$421.82	$448.65	$556.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.67 / $529.14 / $576.50	Facility		$478.67	$529.14	$576.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.07 / $512.45 / $512.45	Professional		$263.07	$512.45	$512.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.80 / $514.80 / $514.80	Facility		$514.80	$514.80	$514.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $605.86 / $1,249.30	Professional		$377.48	$605.86	$1,249.30
United Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $503.91 / $734.42	Professional		$355.30	$503.91	$734.42