Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,525.01 / $2,525.01	Facility		$1,400.00	$2,525.01	$2,525.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,280.37 / $2,525.01 / $3,032.40	Professional		$2,280.37	$2,525.01	$3,032.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,840.12 / $3,324.40 / $3,621.98	Facility		$2,840.12	$3,324.40	$3,621.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,219.54 / $3,219.54 / $3,219.54	Professional		$3,219.54	$3,219.54	$3,219.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,046.28 / $3,046.28 / $3,046.28	Facility		$3,046.28	$3,046.28	$3,046.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,544.69 / $4,024.43 / $12,636.50	Professional		$2,544.69	$4,024.43	$12,636.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,912.76 / $2,854.96 / $4,261.10	Professional		$1,912.76	$2,854.96	$4,261.10