Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,787.57 / $5,805.06	Facility		$1,400.00	$3,787.57	$5,805.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,680.87 / $3,950.99 / $4,892.67	Professional		$3,680.87	$3,950.99	$4,892.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,007.30 / $4,495.60 / $4,898.02	Facility		$4,007.30	$4,495.60	$4,898.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,233.80 / $4,353.79 / $4,353.79	Professional		$2,233.80	$4,353.79	$4,353.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,298.76 / $4,298.76 / $4,298.76	Facility		$4,298.76	$4,298.76	$4,298.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,662.60 / $5,442.25 / $9,107.16	Professional		$3,662.60	$5,442.25	$9,107.16
United Facility/Professional Professional Modifier Low / Median / High Price $3,004.79 / $4,370.17 / $6,214.35	Professional		$3,004.79	$4,370.17	$6,214.35