Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,529.40 / $3,529.40	Facility		$1,400.00	$3,529.40	$3,529.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,367.51 / $3,529.40 / $4,084.92	Professional		$3,367.51	$3,529.40	$4,084.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,706.52 / $4,250.02 / $4,630.46	Facility		$3,706.52	$4,250.02	$4,630.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,115.96 / $4,115.96 / $4,115.96	Professional		$4,115.96	$4,115.96	$4,115.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,980.40 / $3,980.40 / $3,980.40	Facility		$3,980.40	$3,980.40	$3,980.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,321.43 / $5,144.95 / $16,256.75	Professional		$3,321.43	$5,144.95	$16,256.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,985.56 / $3,145.16 / $5,680.20	Professional		$1,985.56	$3,145.16	$5,680.20