Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,721.31 / $2,721.31	Facility		$1,400.00	$2,721.31	$2,721.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,721.31 / $2,854.49 / $3,204.92	Professional		$2,721.31	$2,854.49	$3,204.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,730.96 / $3,123.49 / $3,403.09	Facility		$2,730.96	$3,123.49	$3,403.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,024.97 / $3,024.97 / $3,024.97	Professional		$3,024.97	$3,024.97	$3,024.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,927.99 / $2,927.99 / $2,927.99	Facility		$2,927.99	$2,927.99	$2,927.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,447.48 / $3,781.21 / $11,959.30	Professional		$2,447.48	$3,781.21	$11,959.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,098.61 / $2,823.31 / $4,337.13	Professional		$2,098.61	$2,823.31	$4,337.13