Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.68 / $459.68 / $459.68	Facility		$459.68	$459.68	$459.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.73 / $413.48 / $459.68	Professional		$373.73	$413.48	$459.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $85.93 / $603.19	Facility		$44.68	$85.93	$603.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $48.12 / $649.59	Professional		$44.68	$48.12	$649.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $747.40	Facility		$429.00	$429.00	$747.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $3,101.04	Professional		$54.03	$429.00	$3,101.04
United Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $366.18 / $711.21	Professional		$233.26	$366.18	$711.21