Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $891.25	Facility		$489.78	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $562.34	Professional		$257.04	$489.78	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $954.99 / $1,819.70	Facility		$501.19	$954.99	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $380.19	Professional		$125.89	$151.36	$380.19