Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,890.94 / $5,927.17	Facility		$1,400.00	$3,890.94	$5,927.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,360.13 / $3,890.94 / $4,650.27	Professional		$3,360.13	$3,890.94	$4,650.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,002.39 / $4,590.16 / $5,001.05	Facility		$4,002.39	$4,590.16	$5,001.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,280.60 / $4,445.38 / $4,445.38	Professional		$2,280.60	$4,445.38	$4,445.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,297.76 / $4,297.76 / $4,297.76	Facility		$4,297.76	$4,297.76	$4,297.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,023.50 / $5,186.27 / $11,037.51	Professional		$3,023.50	$5,186.27	$11,037.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,203.06 / $3,547.09 / $5,927.17	Professional		$2,203.06	$3,547.09	$5,927.17