Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,412.54	Facility		$1,047.13	$1,047.13	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,202.26	Professional		$977.24	$1,096.48	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,318.26	Facility		$1,047.13	$1,047.13	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,659.59 / $1,659.59	Facility		$34.67	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $6,760.83	Professional		$831.76	$1,584.89	$6,760.83
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 $831.76 / $1,202.26 / $1,862.09	Professional		$831.76	$1,202.26	$1,862.09