Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $4,897.79	Facility		$2,630.27	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $3,019.95	Professional		$2,290.87	$2,630.27	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,128.61 / $9,772.37	Facility		$2,691.53	$5,128.61	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $4,073.80	Professional		$1,348.96	$1,445.44	$4,073.80