Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,579.95 / $3,579.95	Facility		$1,400.00	$3,579.95	$3,579.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,579.95 / $3,770.77 / $4,214.18	Professional		$3,579.95	$3,770.77	$4,214.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,598.27 / $4,136.29 / $4,506.56	Facility		$3,598.27	$4,136.29	$4,506.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,005.83 / $4,005.83 / $4,005.83	Professional		$4,005.83	$4,005.83	$4,005.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,864.94 / $3,864.94 / $3,864.94	Facility		$3,864.94	$3,864.94	$3,864.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,211.78 / $5,319.55 / $16,982.56	Professional		$3,211.78	$5,319.55	$16,982.56
United Facility/Professional Professional Modifier Low / Median / High Price $2,895.69 / $4,674.54 / $7,343.09	Professional		$2,895.69	$4,674.54	$7,343.09