Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,367.00 / $3,367.00	Facility		$1,400.00	$3,367.00	$3,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,367.00 / $3,545.82 / $3,964.72	Professional		$3,367.00	$3,545.82	$3,964.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,383.42 / $3,888.29 / $4,236.34	Facility		$3,383.42	$3,888.29	$4,236.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,765.64 / $3,765.64 / $3,765.64	Professional		$3,765.64	$3,765.64	$3,765.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,634.40 / $3,634.40 / $3,634.40	Facility		$3,634.40	$3,634.40	$3,634.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,020.88 / $5,000.93 / $16,140.50	Professional		$3,020.88	$5,000.93	$16,140.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,671.86 / $4,143.68 / $6,657.30	Professional		$2,671.86	$4,143.68	$6,657.30