Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.51 / $1,595.51 / $1,595.51	Facility		$1,595.51	$1,595.51	$1,595.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,595.51 / $1,595.51 / $1,716.05	Professional		$1,595.51	$1,595.51	$1,716.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,426.65 / $2,603.02 / $4,880.66	Facility		$1,426.65	$2,603.02	$4,880.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.99 / $2,114.94 / $2,928.39	Professional		$889.99	$2,114.94	$2,928.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $3,724.93	Facility		$1,808.29	$1,808.29	$3,724.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $15,585.90	Professional		$1,537.05	$1,537.05	$15,585.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,623.28 / $2,016.78 / $2,705.46	Professional		$1,623.28	$2,016.78	$2,705.46