Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,698.24	Facility		$1,412.54	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $1,995.26	Professional		$1,584.89	$1,778.28	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,137.96	Facility		$1,698.24	$1,698.24	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $2,754.23	Facility		$34.67	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $10,471.29	Professional		$1,348.96	$2,754.23	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,951.21	Professional		$1,380.38	$1,995.26	$2,951.21