Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,450.94 / $3,450.94 / $3,450.94	Facility		$3,450.94	$3,450.94	$3,450.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,450.94 / $3,450.94 / $3,751.18	Professional		$3,450.94	$3,450.94	$3,751.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,630.10 / $9,500.79 / $12,315.85	Facility		$5,630.10	$9,500.79	$12,315.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,574.46 / $6,252.69 / $10,718.90	Professional		$4,574.46	$6,252.69	$10,718.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $10,467.68	Facility		$4,697.47	$4,697.47	$10,467.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $36,807.06	Professional		$3,429.16	$3,429.16	$36,807.06
United Facility/Professional Professional Modifier Low / Median / High Price $3,511.00 / $4,702.35 / $6,113.06	Professional		$3,511.00	$4,702.35	$6,113.06