Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,760.88 / $4,267.02	Facility		$1,400.00	$2,760.88	$4,267.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,692.76 / $2,870.19 / $4,025.58	Professional		$2,692.76	$2,870.19	$4,025.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,941.54 / $3,304.50 / $3,600.30	Facility		$2,941.54	$3,304.50	$3,600.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,641.94 / $3,200.27 / $3,200.27	Professional		$1,641.94	$3,200.27	$3,200.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,145.79 / $3,145.79 / $3,145.79	Facility		$3,145.79	$3,145.79	$3,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,677.74 / $3,584.75 / $6,739.08	Professional		$2,677.74	$3,584.75	$6,739.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,917.91 / $2,880.24 / $4,372.02	Professional		$1,917.91	$2,880.24	$4,372.02