Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.54 / $1,235.54 / $1,400.00	Facility		$1,235.54	$1,235.54	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.54 / $1,289.23 / $1,423.16	Professional		$1,235.54	$1,289.23	$1,423.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,231.47 / $1,422.41 / $1,549.73	Facility		$1,231.47	$1,422.41	$1,549.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,377.54 / $1,377.54 / $1,377.54	Professional		$1,377.54	$1,377.54	$1,377.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.21 / $1,322.21 / $1,322.21	Facility		$1,322.21	$1,322.21	$1,322.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.20 / $1,789.76 / $7,416.49	Professional		$1,091.20	$1,789.76	$7,416.49
United Facility/Professional Professional Modifier Low / Median / High Price $988.41 / $1,485.47 / $2,196.53	Professional		$988.41	$1,485.47	$2,196.53