Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.83 / $942.83 / $1,400.00	Facility		$942.83	$942.83	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.69 / $942.83 / $1,130.42	Professional		$863.69	$942.83	$1,130.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.67 / $1,247.08 / $1,358.71	Facility		$1,077.67	$1,247.08	$1,358.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,207.74 / $1,207.74 / $1,207.74	Professional		$1,207.74	$1,207.74	$1,207.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.65 / $1,154.65 / $1,154.65	Facility		$1,154.65	$1,154.65	$1,154.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.52 / $1,509.67 / $4,862.32	Professional		$979.52	$1,509.67	$4,862.32
United Facility/Professional Professional Modifier Low / Median / High Price $770.64 / $1,086.97 / $1,610.32	Professional		$770.64	$1,086.97	$1,610.32