Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,715.19 / $5,648.98	Facility		$1,400.00	$3,715.19	$5,648.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,197.84 / $3,715.19 / $4,431.14	Professional		$3,197.84	$3,715.19	$4,431.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,808.61 / $4,374.72 / $4,766.32	Facility		$3,808.61	$4,374.72	$4,766.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,173.66 / $4,236.72 / $4,236.72	Professional		$2,173.66	$4,236.72	$4,236.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,091.99 / $4,091.99 / $4,091.99	Facility		$4,091.99	$4,091.99	$4,091.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,871.17 / $4,942.85 / $10,662.35	Professional		$2,871.17	$4,942.85	$10,662.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,472.96 / $3,396.02 / $5,788.00	Professional		$2,472.96	$3,396.02	$5,788.00