Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.83 / $1,022.83 / $1,400.00	Facility		$1,022.83	$1,022.83	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.83 / $1,086.20 / $1,224.22	Professional		$1,022.83	$1,086.20	$1,224.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.68 / $1,187.21 / $1,293.49	Facility		$1,037.68	$1,187.21	$1,293.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Professional		$1,149.77	$1,149.77	$1,149.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.57 / $1,112.57 / $1,112.57	Facility		$1,112.57	$1,112.57	$1,112.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.37 / $1,462.67 / $6,707.71	Professional		$933.37	$1,462.67	$6,707.71
United Facility/Professional Professional Modifier Low / Median / High Price $822.12 / $1,181.80 / $1,774.15	Professional		$822.12	$1,181.80	$1,774.15