Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.09 / $765.09 / $765.09	Facility		$765.09	$765.09	$765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.22 / $732.24 / $786.28	Professional		$713.22	$732.24	$786.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $996.40 / $1,999.28 / $2,591.66	Facility		$996.40	$1,999.28	$2,591.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $962.62 / $1,073.04 / $1,839.50	Professional		$962.62	$1,073.04	$1,839.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $1,796.39	Facility		$842.96	$842.96	$1,796.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $842.96 / $7,314.83	Professional		$615.36	$842.96	$7,314.83
United Facility/Professional Professional Modifier Low / Median / High Price $564.09 / $747.19 / $1,231.38	Professional		$564.09	$747.19	$1,231.38