Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,288.67 / $3,288.67	Facility		$1,400.00	$3,288.67	$3,288.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.25 / $3,347.46 / $3,853.95	Professional		$2,225.25	$3,347.46	$3,853.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,291.96 / $3,770.05 / $4,107.52	Facility		$3,291.96	$3,770.05	$4,107.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,651.13 / $3,651.13 / $3,651.13	Professional		$3,651.13	$3,651.13	$3,651.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,530.36 / $3,530.36 / $3,530.36	Facility		$3,530.36	$3,530.36	$3,530.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,943.97 / $4,398.22 / $22,519.40	Professional		$2,943.97	$4,398.22	$22,519.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,292.25 / $3,430.18 / $5,079.51	Professional		$2,292.25	$3,430.18	$5,079.51