Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,230.27	Professional		$660.69	$724.44	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,137.96	Facility		$1,023.29	$1,023.29	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,905.46	Professional		$1,122.02	$1,122.02	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $2,511.89	Facility		$851.14	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $7,585.78	Professional		$630.96	$630.96	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,584.89	Facility		$676.08	$912.01	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,148.15	Professional		$616.60	$776.25	$1,148.15