Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,203.49 / $3,203.49	Facility		$1,400.00	$3,203.49	$3,203.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,203.49 / $3,354.19 / $3,761.08	Professional		$3,203.49	$3,354.19	$3,761.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,208.94 / $3,672.74 / $4,001.51	Facility		$3,208.94	$3,672.74	$4,001.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,556.90 / $3,556.90 / $3,556.90	Professional		$3,556.90	$3,556.90	$3,556.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,441.01 / $3,441.01 / $3,441.01	Facility		$3,441.01	$3,441.01	$3,441.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,872.50 / $4,446.12 / $14,038.15	Professional		$2,872.50	$4,446.12	$14,038.15
United Facility/Professional Professional Modifier Low / Median / High Price $2,382.84 / $3,330.95 / $4,947.87	Professional		$2,382.84	$3,330.95	$4,947.87