Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.19 / $1,398.19 / $2,300.00	Facility		$1,398.19	$1,398.19	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.41 / $1,398.19 / $2,234.10	Professional		$1,026.41	$1,398.19	$2,234.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,286.66 / $1,395.18 / $1,520.07	Facility		$1,286.66	$1,395.18	$1,520.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,187.22 / $1,278.92 / $1,511.45	Professional		$1,187.22	$1,278.92	$1,511.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.85 / $1,414.85 / $1,414.85	Facility		$1,414.85	$1,414.85	$1,414.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.10 / $1,463.77 / $6,992.32	Professional		$1,090.10	$1,463.77	$6,992.32
United Facility/Professional Professional Modifier Low / Median / High Price $819.43 / $1,209.09 / $1,801.57	Professional		$819.43	$1,209.09	$1,801.57