Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,819.15 / $4,297.47 / $5,156.97	Facility		$2,819.15	$4,297.47	$5,156.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,578.48 / $2,819.15 / $2,922.29	Professional		$2,578.48	$2,819.15	$2,922.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,641.27 / $19,338.64 / $92,825.46	Facility		$4,641.27	$19,338.64	$92,825.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,125.58 / $4,641.27 / $119,998.80	Professional		$4,125.58	$4,641.27	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,793.36 / $3,352.04 / $4,125.58	Facility		$2,793.36	$3,352.04	$4,125.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,571.06 / $16,571.06 / $16,571.06	Professional		$16,571.06	$16,571.06	$16,571.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.95 / $1,718.99 / $4,985.07	Professional		$1,443.95	$1,718.99	$4,985.07