Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.76 / $1,424.76 / $1,424.76	Facility		$1,424.76	$1,424.76	$1,424.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.21 / $1,424.76 / $1,532.40	Professional		$1,222.21	$1,424.76	$1,532.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,888.62 / $3,631.96 / $5,084.75	Facility		$1,888.62	$3,631.96	$5,084.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,770.95 / $2,033.90 / $3,035.92	Professional		$1,770.95	$2,033.90	$3,035.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $3,138.26	Facility		$1,523.27	$1,523.27	$3,138.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $13,153.39	Professional		$1,111.99	$1,523.27	$13,153.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.31 / $1,743.34 / $2,415.92	Professional		$1,419.31	$1,743.34	$2,415.92