Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.50 / $1,144.50 / $1,400.00	Facility		$1,144.50	$1,144.50	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.50 / $1,243.60 / $1,383.79	Professional		$1,144.50	$1,243.60	$1,383.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,204.45 / $1,372.18 / $1,495.00	Facility		$1,204.45	$1,372.18	$1,495.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,328.89 / $1,328.89 / $1,328.89	Professional		$1,328.89	$1,328.89	$1,328.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.43 / $1,273.43 / $1,273.43	Facility		$1,273.43	$1,273.43	$1,273.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.30 / $1,661.12 / $6,390.04	Professional		$1,090.30	$1,661.12	$6,390.04
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.17 / $1,240.30 / $1,804.54	Professional		$873.17	$1,240.30	$1,804.54