Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.40 / $424.40 / $424.40	Facility		$424.40	$424.40	$424.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.63 / $406.18 / $442.93	Professional		$395.63	$406.18	$442.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.52 / $1,117.51 / $1,457.63	Facility		$618.52	$1,117.51	$1,457.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.97 / $666.10 / $1,141.88	Professional		$533.97	$666.10	$1,141.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $1,115.11	Facility		$511.34	$511.34	$1,115.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $4,511.85	Professional		$373.28	$511.34	$4,511.85
United Facility/Professional Facility Modifier Low / Median / High Price $404.62 / $404.62 / $629.11	Facility		$404.62	$404.62	$629.11
United Facility/Professional Professional Modifier Low / Median / High Price $342.18 / $440.38 / $683.05	Professional		$342.18	$440.38	$683.05