Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,870.00 / $4,375.00 / $5,250.00	Facility		$2,870.00	$4,375.00	$5,250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $2,870.00 / $2,975.00	Professional		$2,625.00	$2,870.00	$2,975.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,725.00 / $19,687.50 / $94,500.00	Facility		$4,725.00	$19,687.50	$94,500.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,725.00 / $119,998.80	Professional		$4,200.00	$4,725.00	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,843.75 / $4,200.00 / $10,499.13	Facility		$2,843.75	$4,200.00	$10,499.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,870.00 / $16,870.00 / $16,870.00	Professional		$16,870.00	$16,870.00	$16,870.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $1,470.00	Facility		$1,470.00	$1,470.00	$1,470.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,750.00 / $5,075.00	Professional		$1,470.00	$1,750.00	$5,075.00