Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.08 / $1,038.08 / $1,400.00	Facility		$1,038.08	$1,038.08	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.23 / $1,094.48 / $1,250.80	Professional		$974.23	$1,094.48	$1,250.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,168.02 / $1,295.93 / $1,411.94	Facility		$1,168.02	$1,295.93	$1,411.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,255.06 / $1,255.06 / $1,255.06	Professional		$1,255.06	$1,255.06	$1,255.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.66 / $1,249.66 / $1,249.66	Facility		$1,249.66	$1,249.66	$1,249.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.58 / $1,568.82 / $6,867.45	Professional		$1,068.58	$1,568.82	$6,867.45
United Facility/Professional Professional Modifier Low / Median / High Price $897.16 / $1,281.78 / $1,870.51	Professional		$897.16	$1,281.78	$1,870.51