Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.80 / $1,147.80 / $1,147.80	Facility		$1,147.80	$1,147.80	$1,147.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.80 / $1,147.80 / $1,234.52	Professional		$1,147.80	$1,147.80	$1,234.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,732.91 / $3,160.03 / $4,096.33	Facility		$1,732.91	$3,160.03	$4,096.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,521.49 / $1,866.21 / $3,199.22	Professional		$1,521.49	$1,866.21	$3,199.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $3,124.25	Facility		$1,747.16	$1,747.16	$3,124.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,747.16 / $12,102.44	Professional		$1,275.43	$1,747.16	$12,102.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.78 / $1,575.40 / $1,946.30	Professional		$1,167.78	$1,575.40	$1,946.30