Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.01 / $1,118.01 / $1,118.01	Facility		$1,118.01	$1,118.01	$1,118.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.01 / $1,118.01 / $1,227.66	Professional		$1,118.01	$1,118.01	$1,227.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $3,300.90 / $4,104.00	Facility		$1,482.00	$3,300.90	$4,104.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,482.00 / $1,596.00 / $2,736.00	Professional		$1,482.00	$1,596.00	$2,736.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $2,975.18	Facility		$1,424.68	$1,424.68	$2,975.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $12,469.87	Professional		$1,040.02	$1,040.02	$12,469.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.47 / $1,588.94 / $1,904.30	Professional		$1,137.47	$1,588.94	$1,904.30