Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.21 / $706.21 / $1,400.00	Facility		$706.21	$706.21	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.23 / $706.21 / $849.27	Professional		$622.23	$706.21	$849.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.51 / $864.30 / $941.67	Facility		$759.51	$864.30	$941.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $429.36 / $837.04 / $837.04	Professional		$429.36	$837.04	$837.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.60 / $804.60 / $804.60	Facility		$804.60	$804.60	$804.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.51 / $937.29 / $1,947.89	Professional		$630.51	$937.29	$1,947.89
United Facility/Professional Professional Modifier Low / Median / High Price $532.08 / $766.80 / $1,116.05	Professional		$532.08	$766.80	$1,116.05