Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $630.96	Professional		$281.84	$371.54	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $891.25	Facility		$426.58	$426.58	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $794.33	Professional		$457.09	$457.09	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,122.02 / $1,122.02	Facility		$489.78	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $3,388.44	Professional		$354.81	$354.81	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $426.58 / $758.58	Facility		$165.96	$426.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $630.96	Professional		$354.81	$467.74	$630.96