Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.67 / $1,312.67 / $1,400.00	Facility		$1,312.67	$1,312.67	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.88 / $1,312.67 / $1,468.69	Professional		$1,169.88	$1,312.67	$1,468.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.65 / $1,575.00 / $1,715.99	Facility		$1,393.65	$1,575.00	$1,715.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,525.32 / $1,525.32 / $1,525.32	Professional		$1,525.32	$1,525.32	$1,525.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,489.26 / $1,489.26 / $1,489.26	Facility		$1,489.26	$1,489.26	$1,489.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.23 / $1,906.65 / $7,300.80	Professional		$1,268.23	$1,906.65	$7,300.80
United Facility/Professional Professional Modifier Low / Median / High Price $978.64 / $1,556.78 / $2,098.96	Professional		$978.64	$1,556.78	$2,098.96