Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $4,786.30	Facility		$2,630.27	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,691.53	Professional		$2,137.96	$2,570.40	$2,691.53
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 $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,128.61 / $9,549.93	Facility		$2,691.53	$5,128.61	$9,549.93
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 $1,905.46 / $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 $1,348.96 / $1,445.44 / $3,981.07	Professional		$1,348.96	$1,445.44	$3,981.07