Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $4,841.25 / $5,809.50	Facility		$3,175.86	$4,841.25	$5,809.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $3,175.86 / $3,292.05	Professional		$2,904.75	$3,175.86	$3,292.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,228.55 / $21,785.63 / $104,571.00	Facility		$5,228.55	$21,785.63	$104,571.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,647.60 / $5,228.55 / $119,998.80	Professional		$4,647.60	$5,228.55	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,146.81 / $4,647.60 / $11,618.03	Facility		$3,146.81	$4,647.60	$11,618.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18,667.86 / $18,667.86 / $18,667.86	Professional		$18,667.86	$18,667.86	$18,667.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,742.85 / $5,228.55	Professional		$1,626.66	$1,742.85	$5,228.55