Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.53 / $677.53 / $1,400.00	Facility		$677.53	$677.53	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.08 / $677.53 / $819.54	Professional		$559.08	$677.53	$819.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $710.02 / $801.32 / $873.06	Facility		$710.02	$801.32	$873.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.08 / $776.05 / $776.05	Professional		$398.08	$776.05	$776.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.22 / $759.22 / $759.22	Facility		$759.22	$759.22	$759.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.69 / $852.39 / $1,628.65	Professional		$552.69	$852.39	$1,628.65
United Facility/Professional Professional Modifier Low / Median / High Price $505.82 / $702.88 / $1,069.16	Professional		$505.82	$702.88	$1,069.16