Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.47 / $1,192.47 / $1,400.00	Facility		$1,192.47	$1,192.47	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.73 / $1,192.47 / $1,352.18	Professional		$1,069.73	$1,192.47	$1,352.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,293.35 / $1,465.62 / $1,596.81	Facility		$1,293.35	$1,465.62	$1,596.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,419.38 / $1,419.38 / $1,419.38	Professional		$1,419.38	$1,419.38	$1,419.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,384.94 / $1,384.94 / $1,384.94	Facility		$1,384.94	$1,384.94	$1,384.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.93 / $1,774.23 / $5,768.67	Professional		$1,182.93	$1,774.23	$5,768.67
United Facility/Professional Professional Modifier Low / Median / High Price $930.59 / $1,277.45 / $1,950.08	Professional		$930.59	$1,277.45	$1,950.08