Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.31 / $903.31 / $1,400.00	Facility		$903.31	$903.31	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.91 / $903.31 / $1,054.54	Professional		$775.91	$903.31	$1,054.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,017.48 / $1,139.77 / $1,241.80	Facility		$1,017.48	$1,139.77	$1,241.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,103.82 / $1,103.82 / $1,103.82	Professional		$1,103.82	$1,103.82	$1,103.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.39 / $1,096.39 / $1,096.39	Facility		$1,096.39	$1,096.39	$1,096.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.02 / $1,301.32 / $4,581.96	Professional		$929.02	$1,301.32	$4,581.96
United Facility/Professional Professional Modifier Low / Median / High Price $754.47 / $1,063.05 / $1,529.19	Professional		$754.47	$1,063.05	$1,529.19