Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.27 / $978.27 / $3,550.00	Facility		$978.27	$978.27	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.78 / $1,032.41 / $1,191.23	Professional		$918.78	$1,032.41	$1,191.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,101.66 / $1,222.00 / $1,331.38	Facility		$1,101.66	$1,222.00	$1,331.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,183.45 / $1,183.45 / $1,183.45	Professional		$1,183.45	$1,183.45	$1,183.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.59 / $1,178.59 / $1,178.59	Facility		$1,178.59	$1,178.59	$1,178.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.59 / $1,479.31 / $9,256.39	Professional		$1,008.59	$1,479.31	$9,256.39
United Facility/Professional Professional Modifier Low / Median / High Price $848.58 / $1,166.80 / $1,841.66	Professional		$848.58	$1,166.80	$1,841.66