Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,600.08 / $4,600.08 / $4,600.08	Facility		$4,600.08	$4,600.08	$4,600.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,600.08 / $4,600.08 / $4,947.60	Professional		$4,600.08	$4,600.08	$4,947.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,097.73 / $12,507.70 / $16,416.96	Facility		$6,097.73	$12,507.70	$16,416.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,097.73 / $6,566.78 / $11,117.95	Professional		$6,097.73	$6,566.78	$11,117.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $11,543.06	Facility		$6,553.03	$6,553.03	$11,543.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,553.03 / $48,380.46	Professional		$4,783.71	$6,553.03	$48,380.46
United Facility/Professional Professional Modifier Low / Median / High Price $4,680.13 / $6,268.19 / $7,800.22	Professional		$4,680.13	$6,268.19	$7,800.22