Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.35 / $955.35 / $955.35	Facility		$955.35	$955.35	$955.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.22 / $840.83 / $955.35	Professional		$803.22	$840.83	$955.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $174.74 / $1,226.66	Facility		$90.86	$174.74	$1,226.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $97.85 / $1,321.02	Professional		$90.86	$97.85	$1,321.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $1,642.00	Facility		$881.10	$881.10	$1,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $881.10 / $5,951.11	Professional		$109.87	$881.10	$5,951.11
United Facility/Professional Professional Modifier Low / Median / High Price $638.57 / $843.44 / $1,562.58	Professional		$638.57	$843.44	$1,562.58