Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,513.56	Professional		$660.69	$870.96	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,089.30	Facility		$1,000.00	$1,000.00	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,862.09	Professional		$1,071.52	$1,071.52	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $2,754.23	Facility		$1,258.93	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $8,317.64	Professional		$912.01	$912.01	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,778.28	Facility		$1,023.29	$1,023.29	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,479.11	Professional		$870.96	$1,071.52	$1,479.11