Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,412.54	Facility		$933.25	$933.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,513.56	Professional		$851.14	$933.25	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,348.96	Facility		$1,071.52	$1,071.52	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,698.24 / $1,698.24	Facility		$34.67	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $5,128.61	Professional		$912.01	$1,412.54	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,584.89	Professional		$758.58	$1,000.00	$1,584.89