Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,570.40	Facility		$1,412.54	$1,698.24	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $2,754.23	Professional		$1,513.56	$1,698.24	$2,754.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,187.76	Facility		$1,819.70	$1,819.70	$2,187.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $2,884.03	Facility		$34.67	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $10,964.78	Professional		$1,621.81	$2,570.40	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $20,417.38	Facility		$4,466.84	$4,466.84	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,754.23	Professional		$1,318.26	$1,949.84	$2,754.23