Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.60 / $894.60 / $894.60	Facility		$894.60	$894.60	$894.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.71 / $894.60 / $962.18	Professional		$886.71	$894.60	$962.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,301.99 / $2,704.13 / $3,283.90	Facility		$1,301.99	$2,704.13	$3,283.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,185.84 / $1,402.14 / $2,403.67	Professional		$1,185.84	$1,402.14	$2,403.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $2,376.62	Facility		$1,573.58	$1,573.58	$2,376.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $9,961.16	Professional		$1,148.71	$1,573.58	$9,961.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $910.17 / $1,271.43 / $1,516.95	Professional		$910.17	$1,271.43	$1,516.95