Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $5,809.50 / $14,984.99	Facility		$3,175.86	$5,809.50	$14,984.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $3,175.86 / $3,292.05	Professional		$2,904.75	$3,175.86	$3,292.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,260.30 / $5,228.55 / $6,390.45	Facility		$4,260.30	$5,228.55	$6,390.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $5,228.55 / $5,228.55	Professional		$3,873.00	$5,228.55	$5,228.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,146.81 / $4,647.60 / $11,618.03	Facility		$3,146.81	$4,647.60	$11,618.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,354.13 / $4,707.45 / $18,667.86	Professional		$4,354.13	$4,707.45	$18,667.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $1,626.66	Facility		$1,626.66	$1,626.66	$1,626.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,390.51 / $1,753.88 / $5,637.47	Professional		$1,390.51	$1,753.88	$5,637.47