Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.25 / $742.40 / $742.40	Facility		$569.25	$742.40	$742.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $742.40 / $771.80	Professional		$735.05	$742.40	$771.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $1,102.58	Facility		$735.05	$735.05	$1,102.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $1,704.25	Professional		$735.05	$735.05	$1,704.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $1,887.00 / $1,887.00	Facility		$693.44	$1,887.00	$1,887.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
United Facility/Professional Professional Modifier Low / Median / High Price $713.00 / $735.05 / $2,215.34	Professional		$713.00	$735.05	$2,215.34