Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $1,862.09	Facility		$1,412.54	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $3,019.95	Professional		$1,698.24	$1,862.09	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,388.44 / $3,388.44	Facility		$34.67	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $10,232.93	Professional		$1,778.28	$2,754.23	$10,232.93
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 $1,513.56 / $1,995.26 / $3,162.28	Professional		$1,513.56	$1,995.26	$3,162.28