Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.28 / $1,121.28 / $1,400.00	Facility		$1,121.28	$1,121.28	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.14 / $1,091.19 / $1,258.40	Professional		$863.14	$1,091.19	$1,258.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,282.56 / $1,484.00 / $1,616.85	Facility		$1,282.56	$1,484.00	$1,616.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,437.20 / $1,437.20 / $1,437.20	Professional		$1,437.20	$1,437.20	$1,437.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,374.48 / $1,374.48 / $1,374.48	Facility		$1,374.48	$1,374.48	$1,374.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.63 / $1,694.47 / $8,687.15	Professional		$1,161.63	$1,694.47	$8,687.15
United Facility/Professional Professional Modifier Low / Median / High Price $851.07 / $1,133.61 / $1,916.27	Professional		$851.07	$1,133.61	$1,916.27