Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,817.96 / $2,817.96	Facility		$1,400.00	$2,817.96	$2,817.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,817.96 / $2,954.27 / $3,317.10	Professional		$2,817.96	$2,954.27	$3,317.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,826.73 / $3,233.27 / $3,522.70	Facility		$2,826.73	$3,233.27	$3,522.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,131.29 / $3,131.29 / $3,131.29	Professional		$3,131.29	$3,131.29	$3,131.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,030.34 / $3,030.34 / $3,030.34	Facility		$3,030.34	$3,030.34	$3,030.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,533.21 / $3,914.11 / $12,677.26	Professional		$2,533.21	$3,914.11	$12,677.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,184.25 / $2,760.23 / $4,368.50	Professional		$2,184.25	$2,760.23	$4,368.50