Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.06 / $1,087.06 / $1,400.00	Facility		$1,087.06	$1,087.06	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.86 / $1,146.31 / $1,308.22	Professional		$1,019.86	$1,146.31	$1,308.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,223.03 / $1,357.28 / $1,478.79	Facility		$1,223.03	$1,357.28	$1,478.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,314.48 / $1,314.48 / $1,314.48	Professional		$1,314.48	$1,314.48	$1,314.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.88 / $1,308.88 / $1,308.88	Facility		$1,308.88	$1,308.88	$1,308.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.45 / $1,643.10 / $6,895.01	Professional		$1,118.45	$1,643.10	$6,895.01
United Facility/Professional Professional Modifier Low / Median / High Price $939.16 / $1,341.35 / $1,980.09	Professional		$939.16	$1,341.35	$1,980.09