Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,855.58 / $3,050.00	Facility		$1,400.00	$1,855.58	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,813.13 / $1,932.23 / $2,817.07	Professional		$1,813.13	$1,932.23	$2,817.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,957.69 / $2,277.07 / $2,480.91	Facility		$1,957.69	$2,277.07	$2,480.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,131.33 / $2,205.25 / $2,205.25	Professional		$1,131.33	$2,205.25	$2,205.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,097.92 / $2,097.92 / $2,097.92	Facility		$2,097.92	$2,097.92	$2,097.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,768.20 / $2,666.70 / $5,605.75	Professional		$1,768.20	$2,666.70	$5,605.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.99 / $2,048.16 / $2,940.34	Professional		$1,350.99	$2,048.16	$2,940.34