Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $6,594.10 / $6,594.10	Facility		$1,700.00	$6,594.10	$6,594.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.28 / $1,038.13 / $2,071.76	Professional		$886.28	$1,038.13	$2,071.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,028.60 / $1,140.92 / $1,243.05	Facility		$1,028.60	$1,140.92	$1,243.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,104.94 / $1,104.94 / $1,104.94	Professional		$1,104.94	$1,104.94	$1,104.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.32 / $1,100.32 / $1,100.32	Facility		$1,100.32	$1,100.32	$1,100.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.05 / $1,382.16 / $6,467.17	Professional		$942.05	$1,382.16	$6,467.17
United Facility/Professional Professional Modifier Low / Median / High Price $745.18 / $1,130.84 / $1,892.18	Professional		$745.18	$1,130.84	$1,892.18