Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,643.94 / $4,497.33	Facility		$1,400.00	$2,643.94	$4,497.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,643.94 / $2,892.07 / $4,762.83	Professional		$2,643.94	$2,892.07	$4,762.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,978.99 / $3,482.84 / $3,794.62	Facility		$2,978.99	$3,482.84	$3,794.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,730.56 / $3,373.00 / $3,373.00	Professional		$1,730.56	$3,373.00	$3,373.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,193.94 / $3,193.94 / $3,193.94	Facility		$3,193.94	$3,193.94	$3,193.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,673.24 / $3,935.16 / $8,679.82	Professional		$2,673.24	$3,935.16	$8,679.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,080.86 / $3,479.24 / $4,497.33	Professional		$2,080.86	$3,479.24	$4,497.33