Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,411.68 / $1,411.68	Facility		$1,400.00	$1,411.68	$1,411.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.68 / $1,496.63 / $1,685.56	Professional		$1,411.68	$1,496.63	$1,685.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,427.32 / $1,629.78 / $1,775.67	Facility		$1,427.32	$1,629.78	$1,775.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,578.37 / $1,578.37 / $1,578.37	Professional		$1,578.37	$1,578.37	$1,578.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.35 / $1,533.35 / $1,533.35	Facility		$1,533.35	$1,533.35	$1,533.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.70 / $1,972.96 / $6,799.10	Professional		$1,285.70	$1,972.96	$6,799.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.33 / $1,617.35 / $2,548.30	Professional		$1,103.33	$1,617.35	$2,548.30