Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.97 / $545.12 / $2,300.00	Facility		$434.97	$545.12	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $545.12 / $761.67	Professional		$434.97	$545.12	$761.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.23 / $491.46 / $535.45	Facility		$451.23	$491.46	$535.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $475.96 / $513.95 / $652.92	Professional		$475.96	$513.95	$652.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.54 / $723.54 / $723.54	Facility		$723.54	$723.54	$723.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.11 / $632.33 / $2,036.21	Professional		$413.11	$632.33	$2,036.21
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 $399.93 / $574.23 / $849.22	Professional		$399.93	$574.23	$849.22