Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,926.92 / $1,926.92	Facility		$1,400.00	$1,926.92	$1,926.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.92 / $2,041.14 / $2,297.73	Professional		$1,926.92	$2,041.14	$2,297.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,949.14 / $2,232.05 / $2,431.85	Facility		$1,949.14	$2,232.05	$2,431.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,161.64 / $2,161.64 / $2,161.64	Professional		$2,161.64	$2,161.64	$2,161.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.08 / $2,091.08 / $2,091.08	Facility		$2,091.08	$2,091.08	$2,091.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,750.24 / $2,752.28 / $17,618.52	Professional		$1,750.24	$2,752.28	$17,618.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,534.30 / $2,163.65 / $3,469.15	Professional		$1,534.30	$2,163.65	$3,469.15