Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $400.92 / $1,400.00	Facility		$333.08	$400.92	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.08 / $381.00 / $463.47	Professional		$333.08	$381.00	$463.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.84 / $415.74 / $452.97	Facility		$373.84	$415.74	$452.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $402.64 / $402.64 / $402.64	Professional		$402.64	$402.64	$402.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.45 / $599.45 / $599.45	Facility		$599.45	$599.45	$599.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.16 / $568.50 / $1,637.06	Professional		$345.16	$568.50	$1,637.06
United Facility/Professional Professional Modifier Low / Median / High Price $343.70 / $568.50 / $1,097.56	Professional		$343.70	$568.50	$1,097.56