Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.66 / $1,342.66 / $1,400.00	Facility		$1,342.66	$1,342.66	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.66 / $1,429.97 / $1,616.77	Professional		$1,342.66	$1,429.97	$1,616.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,365.10 / $1,558.51 / $1,698.02	Facility		$1,365.10	$1,558.51	$1,698.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,509.35 / $1,509.35 / $1,509.35	Professional		$1,509.35	$1,509.35	$1,509.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,464.29 / $1,464.29 / $1,464.29	Facility		$1,464.29	$1,464.29	$1,464.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.49 / $1,886.69 / $7,840.67	Professional		$1,231.49	$1,886.69	$7,840.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.02 / $1,478.82 / $2,278.32	Professional		$1,073.02	$1,478.82	$2,278.32