Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.09 / $1,400.00 / $1,865.12	Facility		$1,132.09	$1,400.00	$1,865.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.09 / $1,286.32 / $1,883.24	Professional		$1,132.09	$1,286.32	$1,883.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,299.38 / $1,444.40 / $1,573.70	Facility		$1,299.38	$1,444.40	$1,573.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $717.71 / $1,398.84 / $1,398.84	Professional		$717.71	$1,398.84	$1,398.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.82 / $1,392.82 / $1,392.82	Facility		$1,392.82	$1,392.82	$1,392.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.75 / $1,748.55 / $3,264.88	Professional		$1,190.75	$1,748.55	$3,264.88
United Facility/Professional Professional Modifier Low / Median / High Price $929.51 / $1,458.13 / $1,979.60	Professional		$929.51	$1,458.13	$1,979.60