Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,584.89	Facility		$691.83	$691.83	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,174.90	Professional		$588.84	$691.83	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $891.25	Facility		$707.95	$707.95	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $3,801.89	Professional		$562.34	$870.96	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $10,000.00	Facility		$2,884.03	$2,884.03	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,071.52	Professional		$512.86	$724.44	$1,071.52