Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.48 / $1,142.50 / $1,371.00	Facility		$749.48	$1,142.50	$1,371.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.50 / $749.48 / $776.90	Professional		$685.50	$749.48	$776.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,005.40 / $1,371.00 / $1,599.50	Facility		$1,005.40	$1,371.00	$1,599.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.80 / $1,096.80 / $1,233.90	Professional		$1,096.80	$1,096.80	$1,233.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.63 / $1,096.80 / $2,741.77	Facility		$742.63	$1,096.80	$2,741.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.26 / $1,312.82 / $4,405.47	Professional		$1,050.26	$1,312.82	$4,405.47
United Facility/Professional Facility Modifier Low / Median / High Price $383.88 / $383.88 / $383.88	Facility		$383.88	$383.88	$383.88
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $457.00 / $1,462.40	Professional		$383.88	$457.00	$1,462.40