Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.63 / $470.94 / $1,400.00	Facility		$419.63	$470.94	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $450.73 / $738.74	Professional		$343.67	$450.73	$738.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.92 / $474.92 / $517.42	Facility		$436.92	$474.92	$517.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.21 / $459.94 / $571.77	Professional		$449.21	$459.94	$571.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.60 / $700.60 / $700.60	Facility		$700.60	$700.60	$700.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.29 / $536.60 / $1,972.25	Professional		$387.29	$536.60	$1,972.25
United Facility/Professional Professional Modifier Low / Median / High Price $360.99 / $465.26 / $681.50	Professional		$360.99	$465.26	$681.50