Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.02 / $1,058.02 / $2,600.00	Facility		$1,058.02	$1,058.02	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.97 / $1,075.47 / $1,376.32	Professional		$948.97	$1,075.47	$1,376.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,131.27 / $1,236.43 / $1,347.11	Facility		$1,131.27	$1,236.43	$1,347.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,197.43 / $1,197.43 / $1,197.43	Professional		$1,197.43	$1,197.43	$1,197.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,247.46 / $1,247.46 / $1,247.46	Facility		$1,247.46	$1,247.46	$1,247.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.97 / $1,496.80 / $5,163.76	Professional		$1,074.97	$1,496.80	$5,163.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.61 / $1,041.20 / $1,695.36	Professional		$769.61	$1,041.20	$1,695.36