Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,026.95 / $3,026.95 / $3,026.95	Facility		$3,026.95	$3,026.95	$3,026.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,026.95 / $3,026.95 / $3,489.52	Professional		$3,026.95	$3,026.95	$3,489.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,029.93 / $8,369.85 / $11,111.33	Facility		$4,029.93	$8,369.85	$11,111.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,012.42 / $4,339.92 / $7,439.87	Professional		$4,012.42	$4,339.92	$7,439.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $8,110.82	Facility		$4,865.01	$4,865.01	$8,110.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $4,865.01 / $33,994.93	Professional		$3,551.46	$4,865.01	$33,994.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $3,079.62 / $4,301.96 / $5,361.98	Professional		$3,079.62	$4,301.96	$5,361.98