Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.85 / $612.85 / $1,400.00	Facility		$612.85	$612.85	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.32 / $612.85 / $743.22	Professional		$533.32	$612.85	$743.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $703.58 / $778.97 / $848.69	Facility		$703.58	$778.97	$848.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $754.39 / $754.39 / $754.39	Professional		$754.39	$754.39	$754.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.10 / $755.10 / $755.10	Facility		$755.10	$755.10	$755.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.24 / $880.13 / $3,711.01	Professional		$650.24	$880.13	$3,711.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.20 / $727.12 / $1,061.52	Professional		$502.20	$727.12	$1,061.52