Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.73 / $824.73 / $824.73	Facility		$824.73	$824.73	$824.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.82 / $789.31 / $862.66	Professional		$768.82	$789.31	$862.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,235.49 / $2,155.11 / $2,793.67	Facility		$1,235.49	$2,155.11	$2,793.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,037.65 / $1,330.53 / $2,280.90	Professional		$1,037.65	$1,330.53	$2,280.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $2,227.44	Facility		$1,030.36	$1,030.36	$2,227.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $8,689.83	Professional		$752.17	$752.17	$8,689.83
United Facility/Professional Professional Modifier Low / Median / High Price $667.51 / $796.42 / $1,279.98	Professional		$667.51	$796.42	$1,279.98