Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.00 / $1,052.00 / $1,700.00	Facility		$1,052.00	$1,052.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.32 / $1,059.96 / $1,282.30	Professional		$1,037.32	$1,059.96	$1,282.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,130.31 / $1,255.45 / $1,367.83	Facility		$1,130.31	$1,255.45	$1,367.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,215.84 / $1,215.84 / $1,215.84	Professional		$1,215.84	$1,215.84	$1,215.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,218.23 / $1,218.23 / $1,218.23	Facility		$1,218.23	$1,218.23	$1,218.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.90 / $1,519.81 / $6,248.66	Professional		$1,040.90	$1,519.81	$6,248.66
United Facility/Professional Professional Modifier Low / Median / High Price $846.50 / $1,240.76 / $1,838.34	Professional		$846.50	$1,240.76	$1,838.34