Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.77 / $1,894.77 / $1,894.77	Facility		$1,894.77	$1,894.77	$1,894.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.77 / $1,894.77 / $2,037.91	Professional		$1,894.77	$1,894.77	$2,037.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.64 / $4,946.68 / $6,762.11	Facility		$2,511.64	$4,946.68	$6,762.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,452.16 / $2,704.84 / $4,203.71	Professional		$2,452.16	$2,704.84	$4,203.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $4,371.60	Facility		$2,782.58	$2,782.58	$4,371.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $18,322.75	Professional		$2,031.28	$2,031.28	$18,322.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,910.21 / $2,364.25 / $3,212.89	Professional		$1,910.21	$2,364.25	$3,212.89