Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.21 / $947.21 / $1,700.00	Facility		$947.21	$947.21	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.30 / $959.38 / $1,066.25	Professional		$857.30	$959.38	$1,066.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $994.56 / $1,102.94 / $1,201.68	Facility		$994.56	$1,102.94	$1,201.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,068.16 / $1,068.16 / $1,068.16	Professional		$1,068.16	$1,068.16	$1,068.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,064.03 / $1,064.03 / $1,064.03	Facility		$1,064.03	$1,064.03	$1,064.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.27 / $1,335.19 / $6,204.59	Professional		$911.27	$1,335.19	$6,204.59
United Facility/Professional Professional Modifier Low / Median / High Price $761.75 / $1,333.07 / $2,379.48	Professional		$761.75	$1,333.07	$2,379.48