Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.34 / $751.34 / $1,400.00	Facility		$751.34	$751.34	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.25 / $763.89 / $850.78	Professional		$681.25	$763.89	$850.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $791.19 / $876.52 / $954.98	Facility		$791.19	$876.52	$954.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $848.87 / $848.87 / $848.87	Professional		$848.87	$848.87	$848.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $846.92 / $846.92 / $846.92	Facility		$846.92	$846.92	$846.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.27 / $1,061.08 / $4,550.14	Professional		$726.27	$1,061.08	$4,550.14
United Facility/Professional Professional Modifier Low / Median / High Price $603.07 / $944.44 / $1,299.94	Professional		$603.07	$944.44	$1,299.94