Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,605.85 / $1,605.85	Facility		$1,400.00	$1,605.85	$1,605.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.85 / $1,704.06 / $1,920.49	Professional		$1,605.85	$1,704.06	$1,920.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,627.76 / $1,862.92 / $2,029.67	Facility		$1,627.76	$1,862.92	$2,029.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,804.15 / $1,804.15 / $1,804.15	Professional		$1,804.15	$1,804.15	$1,804.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,745.52 / $1,745.52	Facility		$1,745.52	$1,745.52	$1,745.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.34 / $2,277.19 / $10,260.79	Professional		$1,463.34	$2,277.19	$10,260.79
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.28 / $2,087.94 / $2,826.50	Professional		$1,289.28	$2,087.94	$2,826.50