Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.72 / $345.72 / $345.72	Facility		$345.72	$345.72	$345.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.72 / $345.72 / $371.83	Professional		$345.72	$345.72	$371.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.27 / $881.29 / $1,233.80	Facility		$458.27	$881.29	$1,233.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.35 / $493.52 / $772.02	Professional		$450.35	$493.52	$772.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $812.28	Facility		$394.91	$394.91	$812.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.91 / $3,404.51	Professional		$288.27	$394.91	$3,404.51
United Facility/Professional Professional Modifier Low / Median / High Price $351.73 / $440.43 / $586.22	Professional		$351.73	$440.43	$586.22