Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,619.25 / $4,049.81	Facility		$1,400.00	$2,619.25	$4,049.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,553.14 / $2,717.15 / $3,995.77	Professional		$2,553.14	$2,717.15	$3,995.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,790.07 / $3,136.28 / $3,417.03	Facility		$2,790.07	$3,136.28	$3,417.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,558.30 / $3,037.36 / $3,037.36	Professional		$1,558.30	$3,037.36	$3,037.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,983.13 / $2,983.13 / $2,983.13	Facility		$2,983.13	$2,983.13	$2,983.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,538.17 / $3,854.82 / $7,724.74	Professional		$2,538.17	$3,854.82	$7,724.74
United Facility/Professional Professional Modifier Low / Median / High Price $2,085.01 / $3,091.20 / $4,663.47	Professional		$2,085.01	$3,091.20	$4,663.47