Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,801.89 / $3,801.89	Facility		$1,412.54	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $6,165.95	Professional		$3,467.37	$3,801.89	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,495.41	Facility		$4,265.80	$4,265.80	$5,495.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,918.31 / $6,918.31	Facility		$34.67	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,623.41 / $19,498.45	Professional		$3,630.78	$5,623.41	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $6,456.54	Professional		$3,090.30	$4,073.80	$6,456.54