Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,415.52 / $2,415.52	Facility		$1,400.00	$2,415.52	$2,415.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,415.52 / $2,546.85 / $2,860.23	Professional		$2,415.52	$2,546.85	$2,860.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,430.35 / $2,775.94 / $3,024.43	Facility		$2,430.35	$2,775.94	$3,024.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,688.38 / $2,688.38 / $2,688.38	Professional		$2,688.38	$2,688.38	$2,688.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $2,612.00	Facility		$2,612.00	$2,612.00	$2,612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,181.41 / $3,360.47 / $11,913.39	Professional		$2,181.41	$3,360.47	$11,913.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,860.60 / $2,509.16 / $3,845.24	Professional		$1,860.60	$2,509.16	$3,845.24