Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,778.28	Facility		$1,412.54	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,041.74	Professional		$1,659.59	$1,862.09	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,238.72	Facility		$1,778.28	$1,778.28	$2,238.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,818.38 / $2,818.38	Facility		$34.67	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $11,220.18	Professional		$1,412.54	$2,818.38	$11,220.18
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 $1,445.44 / $2,041.74 / $3,162.28	Professional		$1,445.44	$2,041.74	$3,162.28