Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $3,548.13	Facility		$1,412.54	$1,513.56	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $2,238.72	Professional		$1,412.54	$1,513.56	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,905.46	Facility		$1,621.81	$1,621.81	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,168.69	Facility		$2,570.40	$2,570.40	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $7,244.36	Professional		$1,288.25	$2,137.96	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $16,595.87	Facility		$3,548.13	$3,548.13	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,454.71	Professional		$1,174.90	$1,513.56	$2,454.71