Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,741.95 / $2,741.95	Facility		$1,400.00	$2,741.95	$2,741.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,741.95 / $2,860.25 / $3,250.57	Professional		$2,741.95	$2,860.25	$3,250.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,736.14 / $3,129.61 / $3,409.76	Facility		$2,736.14	$3,129.61	$3,409.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,030.90 / $3,030.90 / $3,030.90	Professional		$3,030.90	$3,030.90	$3,030.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,933.93 / $2,933.93 / $2,933.93	Facility		$2,933.93	$2,933.93	$2,933.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,363.73 / $3,677.16 / $11,980.16	Professional		$2,363.73	$3,677.16	$11,980.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.37 / $2,374.98 / $4,041.20	Professional		$1,522.37	$2,374.98	$4,041.20