Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.23 / $498.23 / $498.23	Facility		$498.23	$498.23	$498.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.45 / $476.83 / $498.23	Professional		$464.45	$476.83	$498.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.69 / $1,301.93 / $1,687.68	Facility		$645.69	$1,301.93	$1,687.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $626.85 / $695.36 / $1,192.04	Professional		$626.85	$695.36	$1,192.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $1,164.10	Facility		$551.53	$551.53	$1,164.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $4,738.68	Professional		$402.62	$551.53	$4,738.68
United Facility/Professional Professional Modifier Low / Median / High Price $369.07 / $481.12 / $801.87	Professional		$369.07	$481.12	$801.87