Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,628.77 / $1,628.77	Facility		$1,400.00	$1,628.77	$1,628.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.18 / $1,643.47 / $1,827.04	Professional		$1,470.18	$1,643.47	$1,827.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,704.12 / $1,892.17 / $2,061.54	Facility		$1,704.12	$1,892.17	$2,061.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,832.48 / $1,832.48 / $1,832.48	Professional		$1,832.48	$1,832.48	$1,832.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.81 / $1,823.81 / $1,823.81	Facility		$1,823.81	$1,823.81	$1,823.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,556.74 / $2,290.61 / $9,535.49	Professional		$1,556.74	$2,290.61	$9,535.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.08 / $1,886.12 / $2,854.93	Professional		$1,312.08	$1,886.12	$2,854.93