Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.11 / $1,091.11 / $1,667.14	Facility		$1,091.11	$1,091.11	$1,667.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.31 / $1,091.11 / $1,352.27	Professional		$1,016.31	$1,091.11	$1,352.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,161.66 / $1,291.07 / $1,406.65	Facility		$1,161.66	$1,291.07	$1,406.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.44 / $1,250.34 / $1,250.34	Professional		$641.44	$1,250.34	$1,250.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.67 / $1,246.67 / $1,246.67	Facility		$1,246.67	$1,246.67	$1,246.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.28 / $1,515.32 / $3,052.23	Professional		$1,033.28	$1,515.32	$3,052.23
United Facility/Professional Professional Modifier Low / Median / High Price $855.32 / $1,241.79 / $1,781.70	Professional		$855.32	$1,241.79	$1,781.70