Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,727.11 / $2,727.11	Facility		$1,400.00	$2,727.11	$2,727.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,727.11 / $2,879.69 / $3,229.06	Professional		$2,727.11	$2,879.69	$3,229.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,760.17 / $3,162.79 / $3,445.92	Facility		$2,760.17	$3,162.79	$3,445.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,063.04 / $3,063.04 / $3,063.04	Professional		$3,063.04	$3,063.04	$3,063.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,952.35 / $2,952.35 / $2,952.35	Facility		$2,952.35	$2,952.35	$2,952.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,472.06 / $3,828.79 / $12,092.37	Professional		$2,472.06	$3,828.79	$12,092.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,914.85 / $2,804.76 / $4,212.13	Professional		$1,914.85	$2,804.76	$4,212.13