Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.18 / $869.18 / $869.18	Facility		$869.18	$869.18	$869.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $680.88 / $896.80	Professional		$516.40	$680.88	$896.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.37 / $628.14 / $1,027.61	Facility		$106.37	$628.14	$1,027.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $776.42 / $1,764.87	Professional		$107.33	$776.42	$1,764.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $4,256.35	Professional		$750.60	$750.60	$4,256.35
United Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $140.63 / $456.72	Professional		$62.77	$140.63	$456.72