Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $4,570.88	Facility		$2,511.89	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $2,754.23	Professional		$2,041.74	$2,454.71	$2,754.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $9,120.11	Facility		$2,511.89	$4,897.79	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Professional		$14,454.40	$14,454.40	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $3,801.89	Professional		$1,258.93	$1,348.96	$3,801.89