Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,148.15	Professional		$602.56	$741.31	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $2,041.74	Facility		$977.24	$977.24	$2,041.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,819.70	Professional		$1,047.13	$1,047.13	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $2,398.83	Facility		$1,047.13	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $7,244.36	Professional		$758.58	$758.58	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,548.82	Facility		$660.69	$660.69	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,230.27	Professional		$602.56	$794.33	$1,230.27