Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $912.01	Professional		$426.58	$691.83	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $724.44 / $1,047.13	Facility		$93.33	$724.44	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,096.48 / $1,445.44	Professional		$144.54	$1,096.48	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,513.56	Facility		$151.36	$1,071.52	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $3,890.45 / $3,890.45	Professional		$295.12	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,778.28	Professional		$741.31	$1,096.48	$1,778.28