Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.63 / $1,472.63 / $1,472.63	Facility		$1,472.63	$1,472.63	$1,472.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.63 / $1,472.63 / $1,583.89	Professional		$1,472.63	$1,472.63	$1,583.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,316.87 / $2,402.55 / $4,504.79	Facility		$1,316.87	$2,402.55	$4,504.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $821.48 / $1,952.07 / $2,702.87	Professional		$821.48	$1,952.07	$2,702.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $3,438.11	Facility		$2,373.71	$2,373.71	$3,438.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,373.71 / $14,385.48	Professional		$2,017.65	$2,373.71	$14,385.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,498.26 / $2,006.66 / $2,497.10	Professional		$1,498.26	$2,006.66	$2,497.10