Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,023.29	Facility		$562.34	$1,023.29	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $794.33	Professional		$478.63	$549.54	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $2,041.74	Facility		$660.69	$1,096.48	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,311.31 / $3,311.31	Professional		$776.25	$3,311.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $676.08	Professional		$288.40	$309.03	$676.08