Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.65 / $601.65 / $601.65	Facility		$601.65	$601.65	$601.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.98 / $488.46 / $601.65	Professional		$456.98	$488.46	$601.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $104.43 / $666.64	Facility		$49.38	$104.43	$666.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $53.18 / $717.92	Professional		$49.38	$53.18	$717.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $1,306.50	Facility		$552.13	$552.13	$1,306.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $552.13 / $3,277.21	Professional		$59.71	$552.13	$3,277.21
United Facility/Professional Professional Modifier Low / Median / High Price $418.10 / $626.22 / $1,243.20	Professional		$418.10	$626.22	$1,243.20