Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.21 / $822.21 / $1,600.00	Facility		$822.21	$822.21	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.16 / $869.40 / $991.10	Professional		$773.16	$869.40	$991.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $927.88 / $1,028.70 / $1,120.78	Facility		$927.88	$1,028.70	$1,120.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $996.25 / $996.25 / $996.25	Professional		$996.25	$996.25	$996.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.26 / $992.26 / $992.26	Facility		$992.26	$992.26	$992.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.67 / $1,245.32 / $5,299.34	Professional		$850.67	$1,245.32	$5,299.34
United Facility/Professional Professional Modifier Low / Median / High Price $708.94 / $974.80 / $1,558.90	Professional		$708.94	$974.80	$1,558.90