Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.91 / $1,400.00 / $1,700.00	Facility		$1,034.91	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.91 / $1,100.46 / $1,557.73	Professional		$1,034.91	$1,100.46	$1,557.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.85 / $1,117.85 / $1,360.67	Facility		$1,117.85	$1,117.85	$1,360.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,209.48 / $1,209.48 / $1,209.48	Professional		$1,209.48	$1,209.48	$1,209.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.30 / $1,196.30 / $1,196.30	Facility		$1,196.30	$1,196.30	$1,196.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.88 / $1,528.35 / $3,011.92	Professional		$1,018.88	$1,528.35	$3,011.92
United Facility/Professional Professional Modifier Low / Median / High Price $821.96 / $1,255.31 / $1,673.69	Professional		$821.96	$1,255.31	$1,673.69