Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.81 / $1,062.81 / $1,700.00	Facility		$1,062.81	$1,062.81	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.14 / $1,062.81 / $1,279.90	Professional		$969.14	$1,062.81	$1,279.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,208.74 / $1,404.49 / $1,530.21	Facility		$1,208.74	$1,404.49	$1,530.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,360.19 / $1,360.19 / $1,360.19	Professional		$1,360.19	$1,360.19	$1,360.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.16 / $1,293.16 / $1,293.16	Facility		$1,293.16	$1,293.16	$1,293.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.31 / $1,700.24 / $5,956.70	Professional		$1,093.31	$1,700.24	$5,956.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $903.59 / $1,234.13 / $1,794.78	Professional		$903.59	$1,234.13	$1,794.78