Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.70 / $949.98 / $2,300.00	Facility		$619.70	$949.98	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.09 / $619.70 / $855.50	Professional		$522.09	$619.70	$855.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $647.82 / $735.70 / $801.55	Facility		$647.82	$735.70	$801.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.63 / $712.49 / $712.49	Professional		$365.63	$712.49	$712.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.27 / $692.27 / $692.27	Facility		$692.27	$692.27	$692.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.90 / $811.02 / $1,624.89	Professional		$523.90	$811.02	$1,624.89
United Facility/Professional Professional Modifier Low / Median / High Price $469.25 / $688.24 / $999.81	Professional		$469.25	$688.24	$999.81