Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,238.55 / $5,007.14	Facility		$1,400.00	$3,238.55	$5,007.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,154.51 / $3,351.81 / $4,677.37	Professional		$3,154.51	$3,351.81	$4,677.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,447.24 / $3,877.66 / $4,224.77	Facility		$3,447.24	$3,877.66	$4,224.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,926.52 / $3,755.35 / $3,755.35	Professional		$1,926.52	$3,755.35	$3,755.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,686.20 / $3,686.20 / $3,686.20	Facility		$3,686.20	$3,686.20	$3,686.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,135.11 / $4,694.18 / $9,411.36	Professional		$3,135.11	$4,694.18	$9,411.36
United Facility/Professional Facility Modifier Low / Median / High Price $8,421.00 / $8,421.00 / $8,421.00	Facility		$8,421.00	$8,421.00	$8,421.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,603.69 / $3,782.97 / $5,340.69	Professional		$2,603.69	$3,782.97	$5,340.69