Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,724.77 / $4,214.96	Facility		$1,400.00	$2,724.77	$4,214.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,620.40 / $2,831.11 / $3,359.59	Professional		$2,620.40	$2,831.11	$3,359.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,905.05 / $3,264.18 / $3,556.37	Facility		$2,905.05	$3,264.18	$3,556.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.82 / $3,161.22 / $3,161.22	Professional		$1,621.82	$3,161.22	$3,161.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,106.91 / $3,106.91 / $3,106.91	Facility		$3,106.91	$3,106.91	$3,106.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,644.07 / $3,688.09 / $6,788.43	Professional		$2,644.07	$3,688.09	$6,788.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.90 / $3,310.91 / $6,145.51	Professional		$1,961.90	$3,310.91	$6,145.51