Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,774.58 / $4,253.84	Facility		$1,400.00	$2,774.58	$4,253.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,741.44 / $2,882.12 / $4,051.40	Professional		$2,741.44	$2,882.12	$4,051.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,961.22 / $3,294.29 / $3,589.18	Facility		$2,961.22	$3,294.29	$3,589.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,636.77 / $3,190.38 / $3,190.38	Professional		$1,636.77	$3,190.38	$3,190.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,184.07 / $3,184.07 / $3,184.07	Facility		$3,184.07	$3,184.07	$3,184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.94 / $4,083.05 / $8,714.29	Professional		$2,705.94	$4,083.05	$8,714.29
United Facility/Professional Professional Modifier Low / Median / High Price $2,269.55 / $3,291.69 / $4,611.42	Professional		$2,269.55	$3,291.69	$4,611.42