Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,447.04 / $2,447.04	Facility		$1,400.00	$2,447.04	$2,447.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,447.04 / $2,587.16 / $2,900.61	Professional		$2,447.04	$2,587.16	$2,900.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,467.61 / $2,830.73 / $3,084.13	Facility		$2,467.61	$2,830.73	$3,084.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,741.45 / $2,741.45 / $2,741.45	Professional		$2,741.45	$2,741.45	$2,741.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,650.90 / $2,650.90 / $2,650.90	Facility		$2,650.90	$2,650.90	$2,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.67 / $3,483.07 / $21,364.42	Professional		$2,209.67	$3,483.07	$21,364.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,935.95 / $2,832.46 / $4,213.10	Professional		$1,935.95	$2,832.46	$4,213.10