Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.89 / $926.89 / $1,400.00	Facility		$926.89	$926.89	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.39 / $977.69 / $1,115.07	Professional		$870.39	$977.69	$1,115.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.88 / $1,156.43 / $1,259.94	Facility		$1,042.88	$1,156.43	$1,259.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,119.95 / $1,119.95 / $1,119.95	Professional		$1,119.95	$1,119.95	$1,119.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.06 / $1,116.06 / $1,116.06	Facility		$1,116.06	$1,116.06	$1,116.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.18 / $1,399.94 / $5,978.74	Professional		$955.18	$1,399.94	$5,978.74
United Facility/Professional Professional Modifier Low / Median / High Price $797.78 / $1,243.39 / $1,732.26	Professional		$797.78	$1,243.39	$1,732.26