Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $5,248.07	Facility		$2,884.03	$5,248.07	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $3,311.31	Professional		$2,630.27	$2,884.03	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $10,471.29	Facility		$2,884.03	$5,623.41	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Professional		$16,982.44	$16,982.44	$16,982.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $4,365.16	Professional		$1,479.11	$1,584.89	$4,365.16