Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,921.00 / $3,921.00	Facility		$1,400.00	$3,921.00	$3,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,587.05 / $3,921.00 / $4,701.34	Professional		$3,587.05	$3,921.00	$4,701.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,426.78 / $5,133.10 / $5,592.59	Facility		$4,426.78	$5,133.10	$5,592.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,971.18 / $4,971.18 / $4,971.18	Professional		$4,971.18	$4,971.18	$4,971.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,737.07 / $4,737.07 / $4,737.07	Facility		$4,737.07	$4,737.07	$4,737.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,013.55 / $5,911.55 / $19,847.36	Professional		$4,013.55	$5,911.55	$19,847.36
United Facility/Professional Professional Modifier Low / Median / High Price $3,185.49 / $4,709.09 / $6,712.40	Professional		$3,185.49	$4,709.09	$6,712.40