Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,343.76 / $6,617.02	Facility		$1,400.00	$4,343.76	$6,617.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,577.06 / $4,343.76 / $5,193.12	Professional		$3,577.06	$4,343.76	$5,193.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,482.87 / $5,124.41 / $5,583.11	Facility		$4,482.87	$5,124.41	$5,583.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,546.25 / $4,962.77 / $4,962.77	Professional		$2,546.25	$4,962.77	$4,962.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,800.85 / $4,800.85 / $4,800.85	Facility		$4,800.85	$4,800.85	$4,800.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,515.29 / $5,389.10 / $11,071.08	Professional		$3,515.29	$5,389.10	$11,071.08
United Facility/Professional Professional Modifier Low / Median / High Price $3,308.51 / $4,435.64 / $6,745.79	Professional		$3,308.51	$4,435.64	$6,745.79