Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.93 / $374.93 / $374.93	Facility		$374.93	$374.93	$374.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.93 / $374.93 / $403.26	Professional		$374.93	$374.93	$403.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,032.22 / $1,376.30	Facility		$497.00	$1,032.22	$1,376.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $535.23 / $912.70	Professional		$497.00	$535.23	$912.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $987.23	Facility		$663.31	$663.31	$987.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $663.31 / $4,137.78	Professional		$484.22	$663.31	$4,137.78
United Facility/Professional Professional Modifier Low / Median / High Price $381.46 / $530.04 / $638.60	Professional		$381.46	$530.04	$638.60