Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $549.54	Professional		$501.19	$501.19	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $724.44 / $724.44	Facility		$478.63	$724.44	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $707.95	Facility		$467.74	$501.19	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,041.74 / $2,041.74	Professional		$501.19	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $588.84	Professional		$478.63	$501.19	$588.84