Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,480.30 / $2,480.30	Facility		$1,400.00	$2,480.30	$2,480.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,270.04 / $2,480.30 / $2,812.48	Professional		$2,270.04	$2,480.30	$2,812.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,644.47 / $2,921.95 / $3,183.52	Facility		$2,644.47	$2,921.95	$3,183.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,829.79 / $2,829.79 / $2,829.79	Professional		$2,829.79	$2,829.79	$2,829.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.02 / $2,847.02 / $2,847.02	Facility		$2,847.02	$2,847.02	$2,847.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,460.88 / $3,537.24 / $12,633.19	Professional		$2,460.88	$3,537.24	$12,633.19
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,927.08 / $2,799.29 / $4,171.97	Professional		$1,927.08	$2,799.29	$4,171.97