Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,869.11 / $1,869.11	Facility		$1,400.00	$1,869.11	$1,869.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.11 / $1,949.13 / $2,148.13	Professional		$1,869.11	$1,949.13	$2,148.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,860.74 / $2,150.82 / $2,343.36	Facility		$1,860.74	$2,150.82	$2,343.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,082.98 / $2,082.98 / $2,082.98	Professional		$2,082.98	$2,082.98	$2,082.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.15 / $1,999.15 / $1,999.15	Facility		$1,999.15	$1,999.15	$1,999.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.70 / $2,767.26 / $9,324.74	Professional		$1,646.70	$2,767.26	$9,324.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.37 / $2,175.46 / $3,538.06	Professional		$1,513.37	$2,175.46	$3,538.06