Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.28 / $2,305.53 / $2,305.53	Facility		$1,921.28	$2,305.53	$2,305.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.77 / $1,229.61 / $1,306.47	Professional		$1,152.77	$1,229.61	$1,306.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,074.98 / $8,645.74 / $41,499.54	Facility		$2,074.98	$8,645.74	$41,499.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,844.42 / $2,074.98 / $119,998.80	Professional		$1,844.42	$2,074.98	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,248.83 / $1,844.42 / $4,610.66	Facility		$1,248.83	$1,844.42	$4,610.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,408.44 / $7,408.44 / $7,408.44	Professional		$7,408.44	$7,408.44	$7,408.44
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $768.51 / $2,228.67	Professional		$645.54	$768.51	$2,228.67