Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.82 / $1,339.82 / $2,300.00	Facility		$1,339.82	$1,339.82	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.82 / $1,438.25 / $1,666.72	Professional		$1,339.82	$1,438.25	$1,666.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,371.01 / $1,596.30 / $1,739.21	Facility		$1,371.01	$1,596.30	$1,739.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,545.96 / $1,545.96 / $1,545.96	Professional		$1,545.96	$1,545.96	$1,545.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,469.66 / $1,469.66 / $1,469.66	Facility		$1,469.66	$1,469.66	$1,469.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.53 / $1,808.31 / $6,125.69	Professional		$1,236.53	$1,808.31	$6,125.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.92 / $1,366.77 / $2,061.28	Professional		$845.92	$1,366.77	$2,061.28