Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,722.85 / $2,722.85	Facility		$1,400.00	$2,722.85	$2,722.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,699.20 / $2,747.12 / $3,356.97	Professional		$2,699.20	$2,747.12	$3,356.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,928.52 / $3,244.51 / $3,534.95	Facility		$2,928.52	$3,244.51	$3,534.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,142.18 / $3,142.18 / $3,142.18	Professional		$3,142.18	$3,142.18	$3,142.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,154.49 / $3,154.49 / $3,154.49	Facility		$3,154.49	$3,154.49	$3,154.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,711.07 / $3,927.71 / $13,057.48	Professional		$2,711.07	$3,927.71	$13,057.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,094.78 / $2,827.96 / $4,527.97	Professional		$2,094.78	$2,827.96	$4,527.97