Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,811.37 / $5,811.37 / $5,811.37	Facility		$5,811.37	$5,811.37	$5,811.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,811.37 / $5,811.37 / $6,250.41	Professional		$5,811.37	$5,811.37	$6,250.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,703.38 / $15,524.74 / $20,739.86	Facility		$7,703.38	$15,524.74	$20,739.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,703.38 / $8,295.95 / $13,312.73	Professional		$7,703.38	$8,295.95	$13,312.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $14,438.00	Facility		$8,732.85	$8,732.85	$14,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $8,732.85 / $60,514.04	Professional		$6,374.98	$8,732.85	$60,514.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $5,912.50 / $7,731.40 / $9,854.17	Professional		$5,912.50	$7,731.40	$9,854.17