Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.61 / $1,396.61 / $2,600.00	Facility		$1,396.61	$1,396.61	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.67 / $1,396.61 / $2,427.71	Professional		$1,194.67	$1,396.61	$2,427.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,431.98 / $1,561.37 / $1,701.14	Facility		$1,431.98	$1,561.37	$1,701.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,316.61 / $1,431.25 / $1,691.48	Professional		$1,316.61	$1,431.25	$1,691.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,543.54 / $1,543.54 / $1,543.54	Facility		$1,543.54	$1,543.54	$1,543.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.30 / $1,669.27 / $7,791.09	Professional		$1,237.30	$1,669.27	$7,791.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,049.17 / $1,467.65 / $2,020.97	Professional		$1,049.17	$1,467.65	$2,020.97