Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.28 / $801.28 / $801.28	Facility		$801.28	$801.28	$801.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.96 / $766.88 / $801.28	Professional		$746.96	$766.88	$801.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,038.52 / $2,093.85 / $2,714.25	Facility		$1,038.52	$2,093.85	$2,714.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,008.15 / $1,118.40 / $1,917.26	Professional		$1,008.15	$1,118.40	$1,917.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,872.32	Facility		$1,115.23	$1,115.23	$1,872.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,115.23 / $7,621.34	Professional		$814.12	$1,115.23	$7,621.34
United Facility/Professional Professional Modifier Low / Median / High Price $593.59 / $799.32 / $1,295.44	Professional		$593.59	$799.32	$1,295.44