Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.46 / $429.46 / $429.46	Facility		$429.46	$429.46	$429.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.22 / $429.46 / $461.90	Professional		$421.22	$429.46	$461.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $583.99 / $1,212.89 / $1,576.46	Facility		$583.99	$1,212.89	$1,576.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $569.28 / $628.91 / $1,078.13	Professional		$569.28	$628.91	$1,078.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $1,089.63	Facility		$695.50	$695.50	$1,089.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $695.50 / $4,566.95	Professional		$507.72	$695.50	$4,566.95
United Facility/Professional Professional Modifier Low / Median / High Price $436.93 / $575.16 / $728.22	Professional		$436.93	$575.16	$728.22