Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.01 / $1,045.01 / $1,045.01	Facility		$1,045.01	$1,045.01	$1,045.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.33 / $1,045.01 / $1,045.01	Professional		$780.33	$1,045.01	$1,045.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,828.93 / $1,828.93 / $1,883.40	Facility		$1,828.93	$1,828.93	$1,883.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,828.93 / $1,828.93 / $1,828.93	Professional		$1,828.93	$1,828.93	$1,828.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,504.10	Facility		$1,186.93	$1,186.93	$1,504.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,186.93 / $1,468.84	Professional		$866.46	$1,186.93	$1,468.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $595.79 / $885.71 / $1,204.77	Professional		$595.79	$885.71	$1,204.77