Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.82 / $888.82 / $888.82	Facility		$888.82	$888.82	$888.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.56 / $850.64 / $1,062.55	Professional		$828.56	$850.64	$1,062.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,266.75 / $2,322.58 / $3,010.75	Facility		$1,266.75	$2,322.58	$3,010.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,118.28 / $1,364.19 / $2,338.61	Professional		$1,118.28	$1,364.19	$2,338.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $2,283.79	Facility		$1,212.63	$1,212.63	$2,283.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,212.63 / $9,414.46	Professional		$885.22	$1,212.63	$9,414.46
United Facility/Professional Professional Modifier Low / Median / High Price $775.75 / $858.30 / $1,322.62	Professional		$775.75	$858.30	$1,322.62