Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.83 / $1,189.83 / $1,189.83	Facility		$1,189.83	$1,189.83	$1,189.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.16 / $1,138.73 / $1,229.89	Professional		$1,109.16	$1,138.73	$1,229.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,695.30 / $3,109.16 / $4,030.39	Facility		$1,695.30	$3,109.16	$4,030.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,497.00 / $1,825.71 / $3,129.78	Professional		$1,497.00	$1,825.71	$3,129.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $3,056.42	Facility		$1,703.99	$1,703.99	$3,056.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $12,062.39	Professional		$1,243.91	$1,703.99	$12,062.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $952.37 / $1,225.69 / $1,914.97	Professional		$952.37	$1,225.69	$1,914.97