Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,063.86 / $3,063.86	Facility		$1,400.00	$3,063.86	$3,063.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,915.95 / $3,063.86 / $3,524.64	Professional		$2,915.95	$3,063.86	$3,524.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,206.61 / $3,683.14 / $4,012.83	Facility		$3,206.61	$3,683.14	$4,012.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,566.96 / $3,566.96 / $3,566.96	Professional		$3,566.96	$3,566.96	$3,566.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,444.47 / $3,444.47 / $3,444.47	Facility		$3,444.47	$3,444.47	$3,444.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,865.72 / $4,458.70 / $14,035.02	Professional		$2,865.72	$4,458.70	$14,035.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.67 / $2,732.66 / $4,760.05	Professional		$2,089.67	$2,732.66	$4,760.05