Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,513.69 / $2,308.58	Facility		$1,400.00	$1,513.69	$2,308.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.39 / $1,513.69 / $1,812.67	Professional		$1,375.39	$1,513.69	$1,812.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,561.75 / $1,787.82 / $1,947.86	Facility		$1,561.75	$1,787.82	$1,947.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $888.38 / $1,731.43 / $1,731.43	Professional		$888.38	$1,731.43	$1,731.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.90 / $1,675.90 / $1,675.90	Facility		$1,675.90	$1,675.90	$1,675.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.84 / $2,081.46 / $4,282.10	Professional		$1,381.84	$2,081.46	$4,282.10
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 $1,195.75 / $1,741.43 / $2,550.92	Professional		$1,195.75	$1,741.43	$2,550.92