Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,546.01 / $5,325.58	Facility		$1,400.00	$3,546.01	$5,325.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,506.00 / $3,546.01 / $4,244.39	Professional		$2,506.00	$3,546.01	$4,244.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,596.30 / $4,124.27 / $4,493.46	Facility		$3,596.30	$4,124.27	$4,493.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,049.19 / $3,994.19 / $3,994.19	Professional		$2,049.19	$3,994.19	$3,994.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,904.99 / $3,904.99 / $3,904.99	Facility		$3,904.99	$3,904.99	$3,904.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,780.82 / $4,310.95 / $7,757.00	Professional		$2,780.82	$4,310.95	$7,757.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,442.26 / $3,494.91 / $5,310.24	Professional		$2,442.26	$3,494.91	$5,310.24