Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.35 / $812.35 / $2,600.00	Facility		$812.35	$812.35	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.54 / $812.35 / $946.46	Professional		$698.54	$812.35	$946.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.14 / $1,023.30 / $1,114.90	Facility		$914.14	$1,023.30	$1,114.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $991.02 / $991.02 / $991.02	Professional		$991.02	$991.02	$991.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.28 / $986.28 / $986.28	Facility		$986.28	$986.28	$986.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.44 / $1,210.07 / $5,001.85	Professional		$835.44	$1,210.07	$5,001.85
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 $660.68 / $969.60 / $1,483.76	Professional		$660.68	$969.60	$1,483.76