Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,414.65 / $1,414.65	Facility		$1,400.00	$1,414.65	$1,414.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.44 / $1,414.65 / $1,714.33	Professional		$1,220.44	$1,414.65	$1,714.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,613.98 / $1,802.41 / $1,963.76	Facility		$1,613.98	$1,802.41	$1,963.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,745.57 / $1,745.57 / $1,745.57	Professional		$1,745.57	$1,745.57	$1,745.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.54 / $1,734.54 / $1,734.54	Facility		$1,734.54	$1,734.54	$1,734.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.04 / $2,036.49 / $8,233.60	Professional		$1,482.04	$2,036.49	$8,233.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,706.17 / $5,706.17 / $5,706.17	Facility		$5,706.17	$5,706.17	$5,706.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.59 / $1,658.22 / $2,389.46	Professional		$1,130.59	$1,658.22	$2,389.46