Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,585.67 / $2,585.67	Facility		$1,400.00	$2,585.67	$2,585.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,585.67 / $2,693.30 / $2,963.49	Professional		$2,585.67	$2,693.30	$2,963.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,571.19 / $2,974.88 / $3,241.17	Facility		$2,571.19	$2,974.88	$3,241.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,881.04 / $2,881.04 / $2,881.04	Professional		$2,881.04	$2,881.04	$2,881.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,762.74 / $2,762.74 / $2,762.74	Facility		$2,762.74	$2,762.74	$2,762.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.14 / $3,804.19 / $13,078.52	Professional		$2,272.14	$3,804.19	$13,078.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,091.46 / $3,013.92 / $4,464.47	Professional		$2,091.46	$3,013.92	$4,464.47