Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.35 / $364.35 / $364.35	Facility		$364.35	$364.35	$364.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.35 / $364.35 / $434.32	Professional		$364.35	$364.35	$434.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.15 / $1,003.08 / $1,300.29	Facility		$488.15	$1,003.08	$1,300.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $482.96 / $525.70 / $901.20	Professional		$482.96	$525.70	$901.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $880.08	Facility		$418.79	$418.79	$880.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $3,555.18	Professional		$305.72	$418.79	$3,555.18
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $370.69 / $467.07 / $581.54	Professional		$370.69	$467.07	$581.54