Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,638.61 / $3,638.61	Facility		$1,400.00	$3,638.61	$3,638.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,638.61 / $3,832.71 / $4,283.28	Professional		$3,638.61	$3,832.71	$4,283.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,656.61 / $4,203.49 / $4,579.77	Facility		$3,656.61	$4,203.49	$4,579.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,070.90 / $4,070.90 / $4,070.90	Professional		$4,070.90	$4,070.90	$4,070.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,928.44 / $3,928.44 / $3,928.44	Facility		$3,928.44	$3,928.44	$3,928.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,263.63 / $5,407.18 / $17,448.09	Professional		$3,263.63	$5,407.18	$17,448.09
United Facility/Professional Professional Modifier Low / Median / High Price $2,887.22 / $4,478.87 / $6,694.63	Professional		$2,887.22	$4,478.87	$6,694.63