Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.36 / $846.36 / $846.36	Facility		$846.36	$846.36	$846.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.36 / $846.36 / $1,114.17	Professional		$846.36	$846.36	$1,114.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,121.91 / $2,330.11 / $3,020.52	Facility		$1,121.91	$2,330.11	$3,020.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,121.91 / $1,208.21 / $2,071.21	Professional		$1,121.91	$1,208.21	$2,071.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $2,292.42	Facility		$1,232.72	$1,232.72	$2,292.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $1,232.72 / $9,608.24	Professional		$899.89	$1,232.72	$9,608.24
United Facility/Professional Professional Modifier Low / Median / High Price $861.09 / $1,202.85 / $1,435.15	Professional		$861.09	$1,202.85	$1,435.15