Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,555.12 / $3,895.00 / $4,674.00	Facility		$2,555.12	$3,895.00	$4,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.00 / $2,555.12 / $2,648.60	Professional		$2,337.00	$2,555.12	$2,648.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,427.60 / $4,674.00 / $5,453.00	Facility		$3,427.60	$4,674.00	$5,453.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,739.20 / $3,739.20 / $4,206.60	Professional		$3,739.20	$3,739.20	$4,206.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,531.75 / $3,739.20 / $9,347.21	Facility		$2,531.75	$3,739.20	$9,347.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,019.12 / $15,019.12 / $15,019.12	Professional		$15,019.12	$15,019.12	$15,019.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.81 / $1,558.00 / $4,985.60	Professional		$1,312.81	$1,558.00	$4,985.60