Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.65 / $1,323.65 / $2,025.02	Facility		$1,323.65	$1,323.65	$2,025.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.58 / $1,323.65 / $1,591.95	Professional		$1,209.58	$1,323.65	$1,591.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,375.29 / $1,568.23 / $1,708.61	Facility		$1,375.29	$1,568.23	$1,708.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $779.05 / $1,518.77 / $1,518.77	Professional		$779.05	$1,518.77	$1,518.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,474.51 / $1,474.51 / $1,474.51	Facility		$1,474.51	$1,474.51	$1,474.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,228.40 / $1,819.06 / $3,724.61	Professional		$1,228.40	$1,819.06	$3,724.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.25 / $1,536.43 / $2,481.03	Professional		$1,024.25	$1,536.43	$2,481.03