Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.62 / $1,629.94 / $1,955.92	Facility		$479.62	$1,629.94	$1,955.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $479.62 / $497.17	Professional		$438.68	$479.62	$497.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,434.35 / $1,955.93 / $2,281.91	Facility		$1,434.35	$1,955.93	$2,281.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,564.74 / $1,564.74 / $1,760.33	Professional		$1,564.74	$1,564.74	$1,760.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.24 / $1,508.52 / $1,754.58	Facility		$475.24	$1,508.52	$1,754.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.76 / $1,872.96 / $6,285.04	Professional		$1,096.76	$1,872.96	$6,285.04
United Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $408.67 / $1,196.08	Professional		$263.20	$408.67	$1,196.08