Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,687.70 / $3,550.00	Facility		$1,400.00	$1,687.70	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.70 / $1,696.15 / $2,155.10	Professional		$1,687.70	$1,696.15	$2,155.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,805.18 / $1,992.25 / $2,170.58	Facility		$1,805.18	$1,992.25	$2,170.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,929.41 / $1,929.41 / $1,929.41	Professional		$1,929.41	$1,929.41	$1,929.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,961.78 / $1,961.78 / $1,961.78	Facility		$1,961.78	$1,961.78	$1,961.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.83 / $2,411.76 / $8,193.08	Professional		$1,698.83	$2,411.76	$8,193.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.94 / $1,859.64 / $2,778.92	Professional		$1,267.94	$1,859.64	$2,778.92