Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $409.52 / $450.47	Facility		$409.52	$409.52	$450.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $444.04	Professional		$422.89	$422.89	$444.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $465.18 / $634.34	Facility		$422.89	$465.18	$634.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $422.89 / $980.49	Professional		$274.88	$422.89	$980.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $703.90 / $703.90	Facility		$398.96	$703.90	$703.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $438.85	Professional		$422.89	$422.89	$438.85
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $470.77 / $828.12	Professional		$422.89	$470.77	$828.12