Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,700.00 / $1,815.85	Facility		$1,400.00	$1,700.00	$1,815.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,815.85 / $1,917.83 / $2,171.85	Professional		$1,815.85	$1,917.83	$2,171.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,832.09 / $2,098.60 / $2,286.44	Facility		$1,832.09	$2,098.60	$2,286.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,032.40 / $2,032.40 / $2,032.40	Professional		$2,032.40	$2,032.40	$2,032.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.00 / $1,963.00 / $1,963.00	Facility		$1,963.00	$1,963.00	$1,963.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,648.47 / $2,692.39 / $8,069.89	Professional		$1,648.47	$2,692.39	$8,069.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.05 / $2,216.50 / $3,355.52	Professional		$1,434.05	$2,216.50	$3,355.52