Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $2,570.40	Facility		$870.96	$870.96	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,479.11	Professional		$870.96	$1,000.00	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,122.02	Facility		$954.99	$954.99	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Facility		$1,513.56	$1,513.56	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $4,570.88	Professional		$776.25	$1,258.93	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $16,595.87	Facility		$3,548.13	$3,548.13	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,445.44	Professional		$660.69	$891.25	$1,445.44