Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,796.09 / $4,319.01	Facility		$1,400.00	$2,796.09	$4,319.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,717.46 / $2,880.31 / $4,228.29	Professional		$2,717.46	$2,880.31	$4,228.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,970.07 / $3,344.76 / $3,644.16	Facility		$2,970.07	$3,344.76	$3,644.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,661.86 / $3,239.26 / $3,239.26	Professional		$1,661.86	$3,239.26	$3,239.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,176.17 / $3,176.17 / $3,176.17	Facility		$3,176.17	$3,176.17	$3,176.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,699.42 / $4,010.37 / $8,314.23	Professional		$2,699.42	$4,010.37	$8,314.23
United Facility/Professional Professional Modifier Low / Median / High Price $2,167.27 / $3,025.85 / $4,319.01	Professional		$2,167.27	$3,025.85	$4,319.01