Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.42 / $1,038.42 / $1,400.00	Facility		$1,038.42	$1,038.42	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.54 / $1,095.49 / $1,251.19	Professional		$974.54	$1,095.49	$1,251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,168.72 / $1,296.68 / $1,412.75	Facility		$1,168.72	$1,296.68	$1,412.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,255.78 / $1,255.78 / $1,255.78	Professional		$1,255.78	$1,255.78	$1,255.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.77 / $1,250.77 / $1,250.77	Facility		$1,250.77	$1,250.77	$1,250.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.24 / $1,569.72 / $6,744.44	Professional		$1,069.24	$1,569.72	$6,744.44
United Facility/Professional Professional Modifier Low / Median / High Price $897.70 / $1,285.16 / $1,918.98	Professional		$897.70	$1,285.16	$1,918.98