Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.10 / $1,301.10 / $2,600.00	Facility		$1,301.10	$1,301.10	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.26 / $1,395.28 / $1,428.81	Professional		$1,232.26	$1,395.28	$1,428.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,611.74 / $20,416.58 / $41,988.55	Facility		$4,611.74	$20,416.58	$41,988.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35,999.64 / $119,998.80 / $119,998.80	Professional		$35,999.64	$119,998.80	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,555.88 / $1,555.88 / $1,555.88	Facility		$1,555.88	$1,555.88	$1,555.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,478.08 / $6,478.08 / $6,478.08	Professional		$6,478.08	$6,478.08	$6,478.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.60 / $1,733.04 / $2,367.67	Professional		$1,089.60	$1,733.04	$2,367.67