Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,916.54 / $6,048.72	Facility		$1,400.00	$3,916.54	$6,048.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,807.45 / $4,036.73 / $5,984.93	Professional		$3,807.45	$4,036.73	$5,984.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,160.43 / $4,684.30 / $5,103.60	Facility		$4,160.43	$4,684.30	$5,103.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,327.39 / $4,536.54 / $4,536.54	Professional		$2,327.39	$4,536.54	$4,536.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,449.92 / $4,449.92 / $4,449.92	Facility		$4,449.92	$4,449.92	$4,449.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,782.51 / $5,743.94 / $11,412.59	Professional		$3,782.51	$5,743.94	$11,412.59
United Facility/Professional Professional Modifier Low / Median / High Price $3,149.94 / $4,813.26 / $7,119.44	Professional		$3,149.94	$4,813.26	$7,119.44