Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.80 / $1,000.80 / $2,300.00	Facility		$1,000.80	$1,000.80	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.72 / $1,000.80 / $1,082.89	Professional		$918.72	$1,000.80	$1,082.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,118.70 / $1,243.06 / $1,354.33	Facility		$1,118.70	$1,243.06	$1,354.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,203.84 / $1,203.84 / $1,203.84	Professional		$1,203.84	$1,203.84	$1,203.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,199.65 / $1,199.65 / $1,199.65	Facility		$1,199.65	$1,199.65	$1,199.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.03 / $1,216.90 / $2,608.67	Professional		$854.03	$1,216.90	$2,608.67
United Facility/Professional Professional Modifier Low / Median / High Price $775.08 / $1,065.74 / $1,619.68	Professional		$775.08	$1,065.74	$1,619.68