Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.63 / $996.63 / $996.63	Facility		$996.63	$996.63	$996.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.84 / $996.63 / $1,071.92	Professional		$987.84	$996.63	$1,071.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,360.87 / $2,743.82 / $3,556.81	Facility		$1,360.87	$2,743.82	$3,556.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,321.10 / $1,465.55 / $2,512.37	Professional		$1,321.10	$1,465.55	$2,512.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $2,453.48	Facility		$1,162.68	$1,162.68	$2,453.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $9,989.40	Professional		$988.28	$1,162.68	$9,989.40
United Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $1,226.68 / $1,527.41	Professional		$40.93	$1,226.68	$1,527.41