Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,627.84 / $2,477.73	Facility		$1,400.00	$1,627.84	$2,477.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.70 / $1,627.84 / $1,942.90	Professional		$1,472.70	$1,627.84	$1,942.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,671.41 / $1,918.84 / $2,090.60	Facility		$1,671.41	$1,918.84	$2,090.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $953.30 / $1,858.31 / $1,858.31	Professional		$953.30	$1,858.31	$1,858.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,795.73 / $1,795.73 / $1,795.73	Facility		$1,795.73	$1,795.73	$1,795.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.41 / $2,224.89 / $4,666.93	Professional		$1,476.41	$2,224.89	$4,666.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.02 / $1,924.07 / $2,813.15	Professional		$1,305.02	$1,924.07	$2,813.15