Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.47 / $1,058.47 / $3,550.00	Facility		$1,058.47	$1,058.47	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.09 / $1,058.47 / $1,246.96	Professional		$906.09	$1,058.47	$1,246.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,191.45 / $1,336.96 / $1,456.64	Facility		$1,191.45	$1,336.96	$1,456.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,294.79 / $1,294.79 / $1,294.79	Professional		$1,294.79	$1,294.79	$1,294.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,283.66 / $1,283.66 / $1,283.66	Facility		$1,283.66	$1,283.66	$1,283.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.28 / $1,594.51 / $6,696.69	Professional		$1,084.28	$1,594.51	$6,696.69
United Facility/Professional Professional Modifier Low / Median / High Price $905.37 / $1,274.84 / $1,986.46	Professional		$905.37	$1,274.84	$1,986.46