Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.92 / $696.92 / $2,300.00	Facility		$696.92	$696.92	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.43 / $731.96 / $823.34	Professional		$656.43	$731.96	$823.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $742.47 / $742.47 / $906.19	Facility		$742.47	$742.47	$906.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $805.50 / $805.50 / $805.50	Professional		$805.50	$805.50	$805.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.88 / $828.88 / $828.88	Facility		$828.88	$828.88	$828.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.87 / $951.88 / $3,146.26	Professional		$562.87	$951.88	$3,146.26
United Facility/Professional Professional Modifier Low / Median / High Price $608.46 / $932.64 / $1,426.97	Professional		$608.46	$932.64	$1,426.97