Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $4,786.30	Facility		$2,570.40	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $2,951.21	Professional		$2,290.87	$2,570.40	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,011.87 / $9,549.93	Facility		$2,630.27	$5,011.87	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $3,981.07	Professional		$1,318.26	$1,412.54	$3,981.07