Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,358.09 / $4,358.09	Facility		$1,400.00	$4,358.09	$4,358.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,358.09 / $4,571.28 / $5,122.84	Professional		$4,358.09	$4,571.28	$5,122.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,377.70 / $5,024.28 / $5,474.03	Facility		$4,377.70	$5,024.28	$5,474.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,865.81 / $4,865.81 / $4,865.81	Professional		$4,865.81	$4,865.81	$4,865.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,688.54 / $4,688.54 / $4,688.54	Facility		$4,688.54	$4,688.54	$4,688.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,838.01 / $5,829.58 / $19,142.63	Professional		$2,838.01	$5,829.58	$19,142.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,532.66 / $2,794.85 / $6,225.45	Professional		$1,532.66	$2,794.85	$6,225.45