Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.68 / $2,042.88 / $3,209.36	Facility		$1,715.68	$2,042.88	$3,209.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,715.68 / $2,169.62 / $3,780.86	Professional		$1,715.68	$2,169.62	$3,780.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,728.00 / $1,728.00 / $2,073.60	Facility		$1,728.00	$1,728.00	$2,073.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,234.89 / $1,234.89 / $1,234.89	Professional		$1,234.89	$1,234.89	$1,234.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,013.24 / $3,013.24 / $3,013.24	Facility		$3,013.24	$3,013.24	$3,013.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.75 / $3,109.07 / $7,140.62	Professional		$1,862.75	$3,109.07	$7,140.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,755.86 / $2,808.19 / $4,135.21	Professional		$1,755.86	$2,808.19	$4,135.21