Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.16 / $812.16 / $812.16	Facility		$812.16	$812.16	$812.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.95 / $453.34 / $533.91	Professional		$417.95	$453.34	$533.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.43 / $491.43 / $581.58	Facility		$491.43	$491.43	$581.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $516.96 / $516.96 / $516.96	Professional		$516.96	$516.96	$516.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.35 / $538.35 / $538.35	Facility		$538.35	$538.35	$538.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.29 / $487.48 / $2,249.78	Professional		$381.29	$487.48	$2,249.78
United Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $408.49 / $741.12	Professional		$233.75	$408.49	$741.12