Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,559.91 / $3,559.91	Facility		$1,400.00	$3,559.91	$3,559.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,559.91 / $3,721.36 / $4,166.97	Professional		$3,559.91	$3,721.36	$4,166.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,561.11 / $4,079.03 / $4,444.17	Facility		$3,561.11	$4,079.03	$4,444.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,950.38 / $3,950.38 / $3,950.38	Professional		$3,950.38	$3,950.38	$3,950.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.26 / $3,818.26 / $3,818.26	Facility		$3,818.26	$3,818.26	$3,818.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,183.64 / $5,236.89 / $15,562.96	Professional		$3,183.64	$5,236.89	$15,562.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,865.21 / $4,011.29 / $6,797.77	Professional		$2,865.21	$4,011.29	$6,797.77