Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,824.10 / $1,824.10 / $1,824.10	Facility		$1,824.10	$1,824.10	$1,824.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.02 / $1,824.10 / $1,961.91	Professional		$1,808.02	$1,824.10	$1,961.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,490.80 / $5,021.96 / $6,509.95	Facility		$2,490.80	$5,021.96	$6,509.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,417.98 / $2,682.40 / $4,598.39	Professional		$2,417.98	$2,682.40	$4,598.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $4,490.63	Facility		$2,381.07	$2,381.07	$4,490.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $2,381.07 / $18,283.37	Professional		$1,738.18	$2,381.07	$18,283.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,855.85 / $2,559.92 / $3,093.08	Professional		$1,855.85	$2,559.92	$3,093.08