Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.94 / $1,400.00 / $2,600.00	Facility		$1,077.94	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.94 / $1,136.51 / $1,672.85	Professional		$1,077.94	$1,136.51	$1,672.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,157.28 / $1,295.50 / $1,411.47	Facility		$1,157.28	$1,295.50	$1,411.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $643.83 / $1,254.64 / $1,254.64	Professional		$643.83	$1,254.64	$1,254.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,236.73 / $1,236.73 / $1,236.73	Facility		$1,236.73	$1,236.73	$1,236.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.98 / $1,604.43 / $3,139.62	Professional		$1,054.98	$1,604.43	$3,139.62
United Facility/Professional Professional Modifier Low / Median / High Price $870.13 / $1,307.88 / $1,777.05	Professional		$870.13	$1,307.88	$1,777.05