Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.11 / $743.34 / $1,700.00	Facility		$484.11	$743.34	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $484.11 / $657.32	Professional		$386.77	$484.11	$657.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.28 / $575.66 / $627.20	Facility		$511.28	$575.66	$627.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $557.51 / $557.51	Professional		$286.17	$557.51	$557.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.30 / $548.30 / $548.30	Facility		$548.30	$548.30	$548.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.75 / $619.66 / $1,286.23	Professional		$397.75	$619.66	$1,286.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,688.75 / $7,688.75 / $7,688.75	Facility		$7,688.75	$7,688.75	$7,688.75
United Facility/Professional Professional Modifier Low / Median / High Price $347.02 / $479.86 / $743.34	Professional		$347.02	$479.86	$743.34